Individual provider Active NPI

Sydney Blair Campbell, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1053182972
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11031283 Issued in FL
Practice address
2165 Malibu Lake Cir Apt 1613
Naples, FL 34119-8704
Phone
(239) 272-0479
NPI assigned
Jan 10, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11031283 FL Primary

Addresses

Primary practice location

2165 Malibu Lake Cir Apt 1613
Naples, FL 34119-8704

Mailing address

2165 Malibu Lake Cir Apt 1613
Naples, FL 34119-8704
Phone (239) 272-0479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240514001333 FL Practitioner - Nurse Practitioner 4981045556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walter G Griffith Jr MD PAGroup PAC ID 9537237029, 7 clinicians

Practice addresses (Care Compare)

5565 Dr MLK Jr St N
St Petersburg, FL 33703-1203
Phone (727) 577-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walter G Griffith Jr MD PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

8916 77th Ter E
Unit 105
Lakewood Ranch, FL 34202
Phone (941) 999-2112

5565 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 577-1203

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1053182972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 MALIBU LAKE CIR APT 1613",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198704",
            "telephone_number": "239-272-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 MALIBU LAKE CIR APT 1613",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198704",
            "telephone_number": "239-272-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SYDNEY",
        "middle_name": "BLAIR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11031283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.