Active NPI
Renee Campbell, APRN, CNM, WHNP-BC
- Advanced Practice Midwife
- Louisville, KY
National Provider Identifier
1659993152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 3011101
- Practice address
- 7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767 - Phone
- (502) 383-3912
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000287A | IN | |
| Advanced Practice Midwife | 367A00000X | CNM04005 | ||
| Advanced Practice Midwife | 367A00000X | 3011101 | KY | Primary |
Addresses
Primary practice location
7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767
Mailing address
7980 New la Grange Rd Ste 7
Louisville, KY 40222-4767
Phone (502) 383-3912
Other names 1
- Renee Nellis/Dejaynes
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09000287A | IN | MD | Advanced Practice Midwife |
| 3011101 | KY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1659993152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7980 NEW LA GRANGE RD STE 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224767",
"telephone_number": "502-383-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7980 NEW LA GRANGE RD STE 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224767",
"telephone_number": "502-383-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RENEE",
"name_prefix": "Dr.",
"credential": "APRN, CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000287A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": "CNM04005",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "KY",
"license": "3011101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "NELLIS/DEJAYNES",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.