Sharena Campbell

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

700 E Grand Blvd
Detroit, MI 48207-2526

Phone

(313) 702-1301

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Positive Images

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1407079882
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1740959170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 COPLIN ST APT 202",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152142",
            "telephone_number": "346-350-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072526",
            "telephone_number": "313-702-1301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4875 Coplin St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482152192",
            "country_code": "US",
            "telephone_number": "313-822-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHARENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Campbell, MS CNM
• Milton B Campbell, DDS
• Paul Anthony Campbell
• Rachel Claire Campbell
• Rachel Marie Campbell, PA-C
• Shelley Jean Campbell, CNNP
• Stephen Michael Campbell, DO
• Tresa Campbell
• Willie Campbell Jr., MS TLLP
• Melanie Camper, RN

• Peer Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.