NPIMap

Individual provider Active NPI

Briana Velez Campbell, DNP

  • Family Nurse Practitioner
  • Nathalie, VA
National Provider Identifier
1265984033
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174159 Issued in VA
Practice address
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone
(434) 349-3113
Fax
(434) 349-2172
NPI assigned
Oct 27, 2016
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 0024174159 VA Primary

Addresses

Primary practice location

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304

Mailing address

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone (434) 349-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109002274 VA Practitioner - Nurse Practitioner 2163703067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Regional Hospital IncGroup PAC ID 4587572805, 27 clinicians

Practice addresses (Care Compare)

101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-8627

115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone (434) 349-3113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174159VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc CurrentSince Oct 1, 2020 Accepting new patients
Dominion Health Medical Assoc. CurrentSince Dec 5, 2016 Accepting new patients
Dominion Health Medical Assoc CurrentSince Dec 5, 2016 Accepting new patients
Halifax Regional Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Halifax Regional Hospital, Inc Past Accepting new patients

Locations

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577
Phone (434) 349-3113

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Interoperability endpoints

  • Direct secure messaging: bcampbell524309@direct.sentara.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1265984033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 L P BAILEY MEMORIAL HWY",
            "city": "NATHALIE",
            "state": "VA",
            "postal_code": "245773304",
            "telephone_number": "434-349-3113",
            "fax_number": "434-349-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 L P BAILEY MEMORIAL HWY",
            "city": "NATHALIE",
            "state": "VA",
            "postal_code": "245773304",
            "telephone_number": "434-349-3113",
            "fax_number": "434-349-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRIANA",
        "middle_name": "VELEZ",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nathalie, VA

Sources for this page

Verify at the official NPI Registry.