Individual provider Active NPI

Diane Campbell, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1780061325
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71005532A Issued in IN
Practice address
3209 W Smith Valley Rd Ste 122
Greenwood, IN 46142-8513
Phone
(317) 597-6397
Fax
(317) 647-4247
NPI assigned
May 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28174667A IN
Nurse Practitioner 363L00000X 71005532A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71005532A IN Primary

Addresses

Primary practice location

3209 W Smith Valley Rd Ste 122
Greenwood, IN 46142-8513

Mailing address

3209 W Smith Valley Rd Ste 122
Greenwood, IN 46142-8513
Phone (317) 597-6397

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28174667AINMDRegistered Nurse
71005532AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Mental Health Partners, LLC Psychiatric/Mental Health CurrentSince Apr 20, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

3209 W Smith Valley Rd
Ste 122
Greenwood, IN 46142
Phone (317) 597-6397

3209 W Smith Valley Rd
Ste 137
Greenwood, IN 46142
Phone (765) 409-7469

Organizations & group practices 3

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1780061325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD STE 122",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428513",
            "telephone_number": "317-597-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 W SMITH VALLEY RD STE 122",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461428513",
            "telephone_number": "317-597-6397",
            "fax_number": "317-647-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28174667A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005532A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71005532A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.