Anntoinette Campbell

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Practice address

7555 Beach Blvd Ste 200
Jacksonville, FL 32216-3003

Phone

(904) 996-7587

Fax

(904) 996-7591

NPI assigned

Jul 8, 2009

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1144459421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54521",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322454521",
            "telephone_number": "904-996-7587",
            "fax_number": "904-996-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 BEACH BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163003",
            "telephone_number": "904-996-7587",
            "fax_number": "904-996-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANNTOINETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693325496",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LICENSE",
            "identifier": "230925",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Eliza Campbell-Boyd, ARNP
• Alana Campbell, RD, LDN
• Alana S Campbell, DO
• Alicia Campbell, MD
• Amaya Campbell
• Charmaine Campbell
• Dara Michelle Campbell
• Donald B. Campbell, DCPA
• Elizabeth Campbell
• James Campbell

• Community Based Hospice Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community Based Hospice Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.