Shirley Campbell Nunez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023019053 Issued in NC

Practice address

612 College St
Jacksonville, NC 28540-5311

Phone

(347) 215-4910

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Onslow

  • State or Local Public Health Clinic/Center
  • Jacksonville, NC
  • NPI 1982743928
  Medicare reassignment NPD
• Lower Cape Fear Hospice, Inc

  • Community Based Hospice Care Agency
  • Wilmington, NC
  • NPI 1336117753
  NPD
• County of Onslow

  • State or Local Public Health Clinic/Center
  • Jacksonville, NC
  • NPI 1477692606
  NPD (past)

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1386800449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EMERALD RIDGE RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468736",
            "telephone_number": "760-819-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 COLLEGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405311",
            "telephone_number": "347-215-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL NUNEZ",
        "first_name": "SHIRLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "281939",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "755051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2023019053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Caldwell, LCSW
• Stephanie Dawn Callahan, L.M.B.T.
• Calming Tides Mental Health Counseling, PLLC
• Cristin Aileen Camaione-Russell, MS,PT
• Noah Matthew Camp, PA
• Cassandra Campbell, RBT
• Davia Campbell
• Dominique Campbell
• Melanie A Campbell
• Morgan Brooke Campbell, MSW, LCSWA

• Family Nurse Practitioner in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.

Verify at the official NPI Registry.