Thelma M Campbell, CNM

Primary specialty

High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X

License

AN1400462 Issued in FL

Practice address

4101 NW 4TH St
Suite 306
Plantation, FL 33317

Phone

(954) 522-2979

Fax

(954) 903-0633

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thelma.campbell@sunlifeobgyn.directbygreenway.com

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.

• Sunlife OB-GYN Services of Ft Lauderdale PA

  • Obstetrics & Gynecology Physician
  • Plantation, FL
  • NPI 1679681449
  Medicare reassignment NPD
• Sunlife OBGYN Services of South Florida, LLC

  • Obstetrics & Gynecology Physician
  • Plantation, FL
  • NPI 1578052767
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1093801755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-522-2979",
            "fax_number": "954-903-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-522-2979",
            "fax_number": "954-903-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THELMA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "FL",
            "license": "AN1400462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302476800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenelle Camino, NURSE PRACTITIONER
• Shirley Campbell-Mogg, MD
• Doyle Ray Campbell, MD
• James Burton Campbell, PSYD
• Shelika O Campbell, MSN, APRN, FNP-BC
• Liliana Campeanu, AP
• Rowena L Campo, CRNA
• Camysha Wright MD PA
• Can Community Health Inc. (CAN Community Health Pharmacy of Ft Lauderdale)
• Can Community Health, Inc.

• Registered Nurse in Plantation, FL
• Providers in Plantation, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.