Individual provider Active NPI

Nelea Dotson Campbell, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1053899534
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25036 Issued in TN
Practice address
2335 Knob Creek Rd Ste 100
Johnson City, TN 37604-2002
Phone
(423) 430-9942
Fax
(423) 212-8700
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200724 TN
Nurse Practitioner 363L00000X 25036 TN Primary

Addresses

Primary practice location

2335 Knob Creek Rd Ste 100
Johnson City, TN 37604-2002

Mailing address

132 W Sevier Ave Ste 1
Kingsport, TN 37660-3764
Phone (423) 224-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190306002093 TN Practitioner - Nurse Practitioner 4587903703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
200724TNMDRegistered Nurse
25036TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Risk Obstetrical Consultants, PLLC CurrentSince Oct 18, 2018 Accepting new patients

Locations

2335 Knob Creek Rd
Ste 100
Johnson City, TN 37604
Phone (423) 282-5332

132 W Sevier Ave
Ste 1
Kingsport, TN 37660
Phone (423) 224-3110

1930 Alcoa Hwy
Ste 435
Knoxville, TN 37920
Phone (865) 263-2400

1930 Alcoa Hwy
Ste A435
Knoxville, TN 37920
Phone (865) 263-2400

102 15th St NW
Ste 301
Norton, VA 24273
Phone (276) 439-1470

Organizations & group practices 1

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1053899534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W SEVIER AVE STE 1",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603764",
            "telephone_number": "423-224-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 KNOB CREEK RD STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042002",
            "telephone_number": "423-430-9942",
            "fax_number": "423-212-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NELEA",
        "middle_name": "DOTSON",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "200724",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.