Individual provider Active NPI

Laura Campbell, FNP-BC

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1013291491
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010926 Issued in NC
Practice address
335 N Caswell Rd
Charlotte, NC 28204
Phone
(704) 384-7980
Fax
(704) 384-7985
NPI assigned
Oct 4, 2011
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5010926 NC Primary
Family Nurse Practitioner 363LF0000X 0024169667 VA

Addresses

Primary practice location

335 N Caswell Rd
Charlotte, NC 28204

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 391-2030

Other practice location 1

1718 Kessler Blvd
Suite 160
Longview, WA 98632-3634
Phone (360) 747-5800

Other practice location 2

1718 Kessler Blvd
Suite 160
Longview, WA 98632-3634
Phone (360) 747-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213003094 NC Practitioner - Nurse Practitioner 0244452084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010926NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 21, 2019 Accepting new patients
Novant Health Medical Group, LLC PastSince Oct 22, 2023 Accepting new patients

Locations

7804 Fairview Rd
Ste A
Charlotte, NC 28226
Phone (704) 316-3136

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1013291491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-391-2030",
            "fax_number": "703-273-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N CASWELL RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-384-7980",
            "fax_number": "704-384-7985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Kessler Blvd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323634",
            "country_code": "US",
            "telephone_number": "360-747-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Kessler Blvd",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323634",
            "country_code": "US",
            "telephone_number": "360-747-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010926",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.