Active NPI
Cammy D Campbell, ARNP
- Primary Care Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN9296699
- Practice address
- 1111 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4777 - Phone
- (407) 635-5543
- Fax
- (321) 842-4002
- NPI assigned
- Feb 20, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9296699 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP9296699 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP135096 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9296699 | FL | Primary |
Addresses
Primary practice location
1111 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4777
Mailing address
1111 W Fairbanks Ave Ste 200
Winter Park, FL 32789-4777
Phone (407) 635-5543
Other practice location 1
52 W Underwood St
Orlando, FL 32806-1110
Phone (888) 912-3648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 W Fairbanks Ave
Suite 200
Winter Park, FL 32789-4777
Phone (407) 635-5516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9296699 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Current | Accepting new patients | |
| Copilotiq, PC | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
6271 Saint Augustine Rd
Jacksonville, FL 32217
Phone (615) 412-8777
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
1111 W Fairbanks Ave
Ste 200
Winter Park, FL 32789
Phone (407) 635-3024
600 12th Ave S
Apt 1000
Nashville, TN 37203
Phone (615) 412-8777
1910 Pacific Ave
Ste 2000
Dallas, TX 75201
Phone (615) 412-8777
Interoperability endpoints
- https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1093254252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W FAIRBANKS AVE STE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894777",
"telephone_number": "407-635-5543",
"fax_number": "321-842-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W FAIRBANKS AVE STE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894777",
"telephone_number": "407-635-5543",
"fax_number": "321-842-4002"
}
],
"practiceLocations": [
{
"address_1": "52 W Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "888-912-3648",
"fax_number": "321-841-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CAMMY",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9296699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9296699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135096",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9296699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.