Individual provider Active NPI

Kathleen Michelle Campbell

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1750144523
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1209032 Issued in TX
Practice address
2710 Swiss Ave
Dallas, TX 75204-5900
Phone
(214) 821-2303
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1209032 TX Primary

Addresses

Primary practice location

2710 Swiss Ave
Dallas, TX 75204-5900

Mailing address

4905 Live Oak St Unit G
Dallas, TX 75206-7601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240424002716 TX Practitioner - Nurse Practitioner 4385084318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Surgery Associates PAGroup PAC ID 0042122137, 58 clinicians
North Texas Critical Care PAGroup PAC ID 6103041637, 79 clinicians

Practice addresses (Care Compare)

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1209032TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Surgery Associates, P.a. CurrentSince Mar 1, 2024 Accepting new patients
North Texas Critical Care PA CurrentSince Mar 1, 2024 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1750144523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 LIVE OAK ST UNIT G",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045900",
            "telephone_number": "214-821-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1209032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.