Marquesa Rae Campbell, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2022151948 Issued in UT

Practice address

10290 N North County Blvd
Highland, UT 84003-8973

Phone

(435) 776-5909

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1063103646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840036012",
            "telephone_number": "435-776-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038973",
            "telephone_number": "435-776-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E 6000 S Unit 2",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844057144",
            "country_code": "US",
            "telephone_number": "801-209-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARQUESA",
        "middle_name": "RAE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-07-12",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "2022151948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Borget, APRN
• John Charles Brailsford Sr., PH.D., LMFT
• Regina Brunner, ACMHC, RN
• Lucas Alexander Bryan
• Gary M Burlingame, PH.D.
• Canyon Chiropractic Clinic
• Douglas Grant Card, RPH
• Care Choice Utah LLC
• Chad Carman, D.O.
• Tyler S Carroll, MD

• Psychiatric/Mental Health Nurse Practitioner in Highland, UT
• Providers in Highland, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.