Individual provider Active NPI

Rowena Camejo, FNP- C

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1083066831
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9164177 Issued in FL
Practice address
917 Ridge Haven Dr
Brandon, FL 33511-7041
Phone
(813) 334-1158
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9164177 FL Primary

Addresses

Primary practice location

917 Ridge Haven Dr
Brandon, FL 33511-7041

Mailing address

917 Ridge Haven Dr
Brandon, FL 33511-7041
Phone (813) 334-1158

Other names 1

  • Ms. Rowena Camejo Professional name

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

State licenses

LicenseStateTypeSpecialty
9164177FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1083066831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RIDGE HAVEN DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117041",
            "telephone_number": "813-334-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RIDGE HAVEN DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117041",
            "telephone_number": "813-334-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "ROWENA",
        "name_prefix": "Ms.",
        "credential": "FNP- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9164177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROWENA",
            "last_name": "CAMEJO",
            "prefix": "MS.",
            "credential": "FNP- C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.