Individual provider Active NPI

Jessica Michelle Campbell, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1124542667
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDING Issued in NM
Practice address
2402 W Pierce St Ste 5a
Carlsbad, NM 88220-3567
Phone
(575) 887-7337
Fax
(575) 887-5377
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING NM Primary

Addresses

Primary practice location

2402 W Pierce St Ste 5a
Carlsbad, NM 88220-3567

Mailing address

2420 W Pierce St Ste 104
Carlsbad, NM 88220-3517
Phone (575) 887-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGNMMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Family CurrentSince Apr 1, 2025 Accepting new patients
Partners in Family Wellness, PLLC PastSince Aug 21, 2017 Accepting new patients

Locations

2402 W Pierce St
Ste 5B
Carlsbad, NM 88220
Phone (505) 885-0766

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

Organizations & group practices 2

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124542667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST STE 104",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203517",
            "telephone_number": "575-887-7337",
            "fax_number": "575-887-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST STE 5A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203567",
            "telephone_number": "575-887-7337",
            "fax_number": "575-887-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.