Individual provider Active NPI

Donna L. Campbell, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1881605442
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3004453 Issued in KY
Practice address
215 Rainbow Way
Jeffersonville, IN 47130-5374
Phone
(812) 284-1760
Fax
(812) 288-6853
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3004453 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71006794A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3004453 KY Primary

Addresses

Primary practice location

215 Rainbow Way
Jeffersonville, IN 47130-5374

Mailing address

950 S 1St St
Louisville, KY 40203-2202
Phone (502) 585-9444

Other practice location 1

950 S 1st St
Louisville, KY 40203-2202
Phone (502) 585-9444 ext. 1232

Other identifiers 1

IdentifierTypeStateIssuer
78015302MedicaidKY

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
71006794AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgehaven, Inc. CurrentSince Oct 1, 2023 Accepting new patients
US Psychiatry PLLC PastSince Oct 1, 2023 Accepting new patients

Locations

950 S 1st St
Louisville, KY 40203
Phone (502) 585-9444

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1881605442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S 1ST ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032202",
            "telephone_number": "502-585-9444",
            "fax_number": "502-585-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RAINBOW WAY",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305374",
            "telephone_number": "812-284-1760",
            "fax_number": "812-288-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032202",
            "country_code": "US",
            "telephone_number": "502-585-9444 x1232",
            "fax_number": "502-585-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DONNA",
        "middle_name": "L.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004453",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71006794A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3004453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015302",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.