Sherrell Faith Campbell, PMHNP, PMHCS, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5011305 Issued in NC

Practice address

4024 Stirrup Creek Dr
Durham, NC 27703-9464

Phone

(919) 908-9787

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Sherry Faith Campbell Other name

Medicare fee-for-service enrollment

Enrolled in MD

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

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• Covenant Counseling Ministries Inc

  • Adult Psychiatric/Mental Health Registered Nurse
  • Cumberland, MD
  • NPI 1629177290

  MD

  Medicare reassignment Authorized official
• Veritas Collaborative, LLC

  • Psychiatric Hospital
  • Durham, NC
  • NPI 1376817593
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1457548323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 STIRRUP CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039464",
            "telephone_number": "301-712-8084",
            "fax_number": "240-362-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 STIRRUP CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277039464",
            "telephone_number": "919-908-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Optimist Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275398605",
            "country_code": "US",
            "telephone_number": "301-712-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 Seton Dr",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215021817",
            "country_code": "US",
            "telephone_number": "301-777-0633",
            "fax_number": "240-362-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHERRELL",
        "middle_name": "FAITH",
        "credential": "PMHNP,  PMHCS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "R067998",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC003856",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011305",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R067998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5562490",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "CAMPBELL",
            "middle_name": "FAITH",
            "credential": "PMHNP,  PMHCS, BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mackhia Campbell
• Michael Campbell, MD
• Novlett Sandramae Campbell
• Pamela Diann Campbell, PA-C
• Rebecca Campbell, LCSW
• Hailey Michel Camper
• Dulce Campos Chavez
• Vanesa Esther Campos
• Stephanie Ann Canada, PH.D.
• Chloe Elizabeth Canady, LCSW

• All providers in Durham, NC
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.