Individual provider Active NPI

Daren O Campbell, RN

  • Registered Nurse
  • Astoria, NY
National Provider Identifier
1891166930
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
681455 Issued in NY
Practice address
3811 Broadway
3Rd Floor
Astoria, NY 11103-4045
Phone
(718) 726-5953
Fax
(718) 204-5308
NPI assigned
Oct 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 681455 NY Primary

Addresses

Primary practice location

3811 Broadway
3Rd Floor
Astoria, NY 11103-4045

Mailing address

3811 Broadway
3Rd Floor
Astoria, NY 11103-4045
Phone (718) 726-5953

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
681455NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Steinway Wellness and Recovery Past Accepting new patients

Organizations & group practices 1

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1891166930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034045",
            "telephone_number": "718-726-5953",
            "fax_number": "718-204-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034045",
            "telephone_number": "718-726-5953",
            "fax_number": "718-204-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DAREN",
        "middle_name": "O",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "681455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.