Individual provider Active NPI

Rachelle Shuntae Campbell, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1437285541
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP155449 Issued in TX
Practice address
3434 W Illinois Ave Ste 306-3
Dallas, TX 75211-8709
Phone
(214) 623-1900
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 679911 TX
Family Nurse Practitioner 363LF0000X AP155449 TX Primary

Addresses

Primary practice location

3434 W Illinois Ave Ste 306-3
Dallas, TX 75211-8709

Mailing address

5100 Eldorado Pkwy Ste 102 PMB 619
McKinney, TX 75070-7295
Phone (214) 729-2064

Other practice location 1

2300 E Park Blvd
Plano, TX 75074-5130
Phone (972) 525-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20081217000329 TX Practitioner - Nurse Practitioner 5395807887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

601 Clara Barton Blvd
Suite 145
Garland, TX 75042-5755
Phone (972) 560-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
679911TXMDFamily Nurse Practitioner
AP155449TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Internal Medicine and Geriatric Specialists PLLC CurrentSince Sep 1, 2022 Accepting new patients
Topcare Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
VMD Primary Providers North Texas, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Physicians for Children PastSince Mar 19, 2023 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

3434 W Illinois Ave
Ste 3063
Dallas, TX 75211
Phone (214) 623-1900

12377 Merit Dr
Ste 300
Dallas, TX 75251

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

601 Clara Barton Blvd
Ste 145
Garland, TX 75042
Phone (972) 560-9400

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

2300 E Park Blvd
Plano, TX 75074
Phone (972) 422-5123

Interoperability endpoints

  • Direct secure messaging: rachelle.campbell.1@13711.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1437285541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY STE 102 PMB 619",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707295",
            "telephone_number": "214-729-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE STE 306-3",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118709",
            "telephone_number": "214-623-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 E Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745130",
            "country_code": "US",
            "telephone_number": "972-525-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RACHELLE",
        "middle_name": "SHUNTAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "679911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP155449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.