Suporior R Harris-Campbell, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1063773 Issued in AL

Practice address

5 Mobile Infirmary Cir
Pob Suite 308
Mobile, AL 36607-3513

Phone

(251) 435-7223

Fax

(251) 435-7282

NPI assigned

Jun 2, 2006

Last updated

Jan 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Suporior R Harris II Professional name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: suporior.campbell.1@27478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303
  Medicare reassignment NPD
• Franklin Primary Health Center, Inc

  dba Franklin Evergreen Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821
  NPD
• Victory Home Care

  • Home Health Aide
  • Mobile, AL
  • NPI 1013694124
  NPD
• Franklin Primary Health Center, Inc

  dba Frisco City Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Frisco City, AL
  • NPI 1982024402
  NPD (past)
• Franklin Primary Health Center, Inc.

  dba H E Savage Memorial Ctr

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1104895952
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1891732103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 WOODCREST EXECUTIVE DR",
            "address_2": "SUITE 220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415001",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "address_2": "POB SUITE 308",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-7223",
            "fax_number": "251-435-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-CAMPBELL",
        "first_name": "SUPORIOR",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1063773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1063773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUPORIOR",
            "last_name": "HARRIS",
            "middle_name": "R",
            "prefix": "MRS.",
            "suffix": "II",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bryan Nathan Harrell, PA-C
• James B Harrell, M.D.
• Ronald Milton Harrell, D.M.D
• Destiny Renee Harrington, PA-S
• Jonah Harrington, MD
• Charmaine Diane Harris, CRNP
• Edna Taylor Harris, CRNP
• Grant Gregory Harris, DO
• Jaleesa Harris, NP
• Janice Denise Harris, CRNP

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.