Crystal Marie Campus

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1836 N Crystal Lake Dr Apt 72
Lakeland, FL 33801-6587

Phone

(708) 205-8186

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Creative Speech Solutions

  • Developmental Therapist
  • Lakeland, FL
  • NPI 1376300947
  NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1073372835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 N CRYSTAL LAKE DR APT 72",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016587",
            "telephone_number": "708-205-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 N CRYSTAL LAKE DR APT 72",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016587",
            "telephone_number": "708-205-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPUS",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venessa Campbell
• Campbell'S Caribbean Delight LLC
• Campbell'S Multi Service Outreach Center
• Kala Marie Camper, APRN, PMHNP-BC
• Armando Campos
• Canady & Jagdeo Physician Associates P L
• Lysmar Karina Cancho I
• Rodolfo Rene Candia, R.PH
• Cannacare Medical Group LLC
• Sara Cannefax

• Developmental Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.