Individual provider Active NPI

Hedy K Campos, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1023261195
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024168053 Issued in VA
Practice address
4701 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407-9435
Phone
(540) 371-3753
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024168053 VA Primary

Addresses

Primary practice location

4701 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407-9435

Mailing address

38 Noel Drive
Fredericksburg, VA 22408-5515
Phone (540) 604-0529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090226000275 VA Practitioner - Nurse Practitioner 5890851877 Practice locations: Fredericksburg, VA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Campos Behavioral Health Services LLC Psychiatric/Mental Health PastSince Jul 24, 2022 Accepting new patients
Rappahannock Area Community Services Board Past Accepting new patients
Virginia Psychiatric Associates, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1023261195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NOEL DRIVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224085515",
            "telephone_number": "540-604-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY",
            "address_2": "STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-371-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "HEDY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024168053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.