Individual provider Active NPI

Heidi Campbell, CD(DONA), MBA, CMR

  • Doula
  • Charlotte, NC
National Provider Identifier
1164700548
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
6938 Issued in NC
Practice address
3343 Eastwood Dr
Charlotte, NC 28205-2111
Phone
(704) 226-5443
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 6938 NC Primary

Addresses

Primary practice location

3343 Eastwood Dr
Charlotte, NC 28205-2111

Mailing address

3343 Eastwood Dr
Charlotte, NC 28205-2111
Phone (704) 226-5443

Other identifiers 1

IdentifierTypeStateIssuer
374J00000XOtherNCDONA INTERNATIONAL

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)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6938NCMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1164700548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 EASTWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052111",
            "telephone_number": "704-226-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 EASTWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052111",
            "telephone_number": "704-226-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HEIDI",
        "credential": "CD(DONA), MBA, CMR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NC",
            "license": "6938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DONA INTERNATIONAL",
            "identifier": "374J00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.