Individual provider Active NPI

Carri Campbell-Nasby, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1659841815
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
813533 Issued in NV
Practice address
5125 W Oquendo Rd Ste 12-1189
Las Vegas, NV 89118-2836
Phone
(702) 469-7008
Fax
(702) 745-0891
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 813533 NV Primary

Addresses

Primary practice location

5125 W Oquendo Rd Ste 12-1189
Las Vegas, NV 89118-2836

Mailing address

5125 W Oquendo Rd Ste 12-1189
Las Vegas, NV 89118-2836
Phone (702) 469-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20241030003648 NV Practitioner - Nurse Practitioner 2062945942 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Community Outreach LLC CurrentSince Sep 8, 2024 Accepting new patients

Locations

3430 E Russell Rd
Ste 320
Las Vegas, NV 89120
Phone (702) 522-7964

Organizations & group practices 1

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": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1659841815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 W OQUENDO RD STE 12-1189",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182836",
            "telephone_number": "702-469-7008",
            "fax_number": "702-745-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 W OQUENDO RD STE 12-1189",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182836",
            "telephone_number": "702-469-7008",
            "fax_number": "702-745-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-NASBY",
        "first_name": "CARRI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "813533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.