Querida Desiree Campbell-Sims

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

309973 Issued in NC

Practice address

3019 Falstaff Rd
Raleigh, NC 27610-1812

Phone

(919) 250-7000

NPI assigned

Nov 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Querida Desiree Campbell Former name

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": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1093472912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-250-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-SIMS",
        "first_name": "QUERIDA",
        "middle_name": "DESIREE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "309973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUERIDA",
            "last_name": "CAMPBELL",
            "middle_name": "DESIREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Camilleri
• Jenny M. Camilo, CSAC-24946
• Brian Hunter Camp, DDS MD
• Jacqueline Camp, PH.D.
• Morgan Dewitt Camp, MD
• Angela Campbell
• Arder 'Scott' Campbell, P.T.
• Ashley Elizabeth Campbell, MSW,LCSW,LCAS
• Ashley L. Campbell, LMFTA
• Brian Scott Campbell, PT, DPT

• Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.