Active NPI
Kate Leslye Campbell, FNP-C
- Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009003
- Practice address
- 7752 Gateway LN NW Ste 100
Concord, NC 28027-4421 - Phone
- (704) 316-4950
- NPI assigned
- Jul 25, 2016
- Last updated
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009003 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5009003 | NC | |
| Registered Nurse | 163W00000X | 245528 | NC |
Addresses
Primary practice location
7752 Gateway LN NW Ste 100
Concord, NC 28027-4421
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-4950
Other practice location 1
5370 Ridge Rd
Charlotte, NC 28269-2298
Phone (704) 316-1491
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcampbell411834@direct.novanthealth.org | ||
| Direct Messaging Address | kcampbell411834@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245528 | NC | MD | Registered Nurse |
| 5009003 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group. LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680
517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406
5370 Ridge Rd
Charlotte, NC 28269
Phone (704) 316-1491
6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354
5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040
7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kcampbell411834@direct.novanthealth.org
Organizations & group practices 6
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Lakeside Primary Care
- Family Medicine Physician
- Concord, NC
- NPI 1962582023
-
dba Novant Health Pediatric After Hours Care
- Pediatrics Physician
- Charlotte, NC
- NPI 1023727542
-
dba Heart Specialists of Brunswick
- Cardiovascular Disease Physician
- Southport, NC
- NPI 1679528384
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1346793502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7752 GATEWAY LN NW STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280274421",
"telephone_number": "704-316-4950"
}
],
"practiceLocations": [
{
"address_1": "5370 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692298",
"country_code": "US",
"telephone_number": "704-316-1491",
"fax_number": "704-316-1492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KATE",
"middle_name": "LESLYE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009003",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009003",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "245528",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcampbell411834@direct.novanthealth.org",
"affiliation": "N",
"address_1": "7752 Gateway Ln NW Ste 100",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280274421",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcampbell411834@direct.novanthealth.org",
"affiliation": "N",
"address_1": "5370 Ridge Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282692298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.