Active NPI
Lindsay Campbell, NP
- Gerontology Nurse Practitioner
- Lake City, FL
National Provider Identifier
1053411652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP739382
- Practice address
- 619 South Marion Avenue 11 Fa
Department of Veterans Affairs Medical Center
Lake City, FL 32025 - Phone
- (386) 755-3016
- Fax
- (386) 254-6456
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP739382 | FL | Primary |
Addresses
Primary practice location
619 South Marion Avenue 11 Fa
Department of Veterans Affairs Medical Center
Lake City, FL 32025
Mailing address
PO Box 3232
Lake City, FL 32056
Phone (386) 935-4642
Other names 1
- Mrs. Lindsay Campbell Forsyth
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP739382 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053411652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3232",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32056",
"telephone_number": "386-935-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 SOUTH MARION AVENUE 11 FA",
"address_2": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-3016",
"fax_number": "386-254-6456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LINDSAY",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP739382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "CAMPBELL FORSYTH",
"prefix": "MRS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.