Active NPI
Greggory Fitzgerald Campbell Sr.
- School Counselor
- Oakland Park, FL
National Provider Identifier
1164799557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 956497
- Practice address
- 2450 W Oakland Park Blvd
Oakland Park, FL 33311-1424 - Phone
- (954) 202-9334
- Fax
- (954) 202-7912
- NPI assigned
- Nov 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 956497 | FL | Primary |
Addresses
Primary practice location
2450 W Oakland Park Blvd
Oakland Park, FL 33311-1424
Mailing address
17760 NW 67TH Ave Apt 801
Hialeah, FL 33015-5876
Phone (786) 258-1900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 956497 | FL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1164799557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17760 NW 67TH AVE APT 801",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155876",
"telephone_number": "786-258-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 W OAKLAND PARK BLVD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111424",
"telephone_number": "954-202-9334",
"fax_number": "954-202-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "GREGGORY",
"middle_name": "FITZGERALD",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "FL",
"license": "956497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.