Individual provider Active NPI

Kristen Marie Schoolcraft Campos, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hudson, OH
National Provider Identifier
1710613930
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.003151 Issued in OH
Practice address
1737 Georgetown Rd Ste H
Hudson, OH 44236-5013
Phone
(330) 355-9729
Fax
(330) 426-0005
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.003151 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-3975-0 HI

Addresses

Primary practice location

1737 Georgetown Rd Ste H
Hudson, OH 44236-5013

Mailing address

1737 Georgetown Rd Ste H
Hudson, OH 44236-5013
Phone (808) 391-3009

Other practice location 1

3801 Whipple Ave NW
Canton, OH 44718-4802
Phone (234) 215-2782

Other practice location 2

4075 Bramshaw Rd NW
Canton, OH 44718-2311
Phone (330) 835-5059

Other identifiers 1

IdentifierTypeStateIssuer
0148318MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20240124003942 HI Practitioner - Nurse Practitioner 4284087461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-3975-0HIMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.003151OHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1710613930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 GEORGETOWN RD STE H",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365013",
            "telephone_number": "808-391-3009",
            "fax_number": "330-426-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 GEORGETOWN RD STE H",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365013",
            "telephone_number": "330-355-9729",
            "fax_number": "330-426-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Whipple Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447184802",
            "country_code": "US",
            "telephone_number": "234-215-2782",
            "fax_number": "330-427-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4075 Bramshaw Rd NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182311",
            "country_code": "US",
            "telephone_number": "330-835-5059",
            "fax_number": "330-427-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOOLCRAFT CAMPOS",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.003151",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-3975-0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148318",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.