Individual provider Active NPI

Kim M Campbell, AGPC NP-C

  • Adult Health Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1417834185
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG08250023 Issued in NC
Practice address
1815 Williams Rd
Monroe, NC 28110-8504
Phone
(980) 699-5276
NPI assigned
Aug 16, 2025
Last updated
Aug 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG08250023 NC Primary

Addresses

Primary practice location

1815 Williams Rd
Monroe, NC 28110-8504

Mailing address

416 Doster Rd
Lancaster, SC 29720-7400
Phone (980) 699-5276

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

State licenses

LicenseStateTypeSpecialty
AG08250023NCMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1417834185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 DOSTER RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207400",
            "telephone_number": "980-699-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 WILLIAMS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108504",
            "telephone_number": "980-699-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "AGPC NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "AG08250023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.