Reavonne S Campbell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703123184 Issued in MI

Practice address

888 W Long Lake Rd
Ste 225
Troy, MI 48098-2827

Phone

(800) 443-2603

Fax

(800) 443-0403

NPI assigned

Dec 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Demand Home Care L.L.C

  • In Home Supportive Care Agency
  • Troy, MI
  • NPI 1518545763

  Licensed Practical Nurse

  NPD Authorized official
• Demand Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Troy, MI
  • NPI 1013628544

  Personal Care Attendant

  NPD Authorized official
• Professionals on Demand LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1912594029

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1073100186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W LONG LAKE RD",
            "address_2": "STE 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982827",
            "telephone_number": "800-443-2603",
            "fax_number": "800-443-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W LONG LAKE RD",
            "address_2": "STE 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982827",
            "telephone_number": "800-443-2603",
            "fax_number": "800-443-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "REAVONNE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703123184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Ruth Mirador Caluag, PT
• Camler Medical LLC
• Jayson Anthony Campagna
• Diane Byrd Campbell, RN, FNP
• Lynne Marie Campbell, L.P.C
• Kirstyn Canady
• Sarah Cancel
• Cancer Counseling, L.L.C.
• Michael E Cannon, MD
• Gabriella Cantore

• Licensed Practical Nurse in Troy, MI
• Providers in Troy, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.