Colleen Yvonne Campbell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R40679 Issued in NM

Practice address

910 Jasmine Dr
Las Cruces, NM 88005-1210

Phone

(575) 640-7507

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Covenant Clinics, LLC

  • Urgent Care Clinic/Center
  • Las Cruces, NM
  • NPI 1093748170
  NPD (past)
• American Current Care, P.a.

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1730360124
  NPD (past)
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1932179678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 JASMINE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051210",
            "telephone_number": "575-640-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 JASMINE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880051210",
            "telephone_number": "575-640-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COLLEEN",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R40679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q6021",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camino Nuevo Counseling
• Camino Therapy & Wellness LLC
• Olga Lidia Campa
• Campbell Behavioral Service Inc
• Ashley Campbell
• Jahnese Campbell
• Laurie Denise Campbell, PT
• Nancy J Campbell, LISW
• Sirquintin Campbell
• Campo Behavioral Health, LLC

• Family Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.