Active NPI
Robert Cooper Campbell
- Community Health Worker
- Wilton Manors, FL
National Provider Identifier
1245596550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2800 N Andrews Ave
Wilton Manors, FL 33311-2514 - Phone
- (954) 522-4749
- NPI assigned
- Apr 11, 2012
- Last updated
- Sep 24, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
2800 N Andrews Ave
Wilton Manors, FL 33311-2514
Mailing address
2800 N Andrews Ave
Wilton Manors, FL 33311-2514
Phone (954) 522-4749
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1245596550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N ANDREWS AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333112514",
"telephone_number": "954-522-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N ANDREWS AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333112514",
"telephone_number": "954-522-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ROBERT",
"middle_name": "COOPER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Arturo Cadilla
- Charles Brendan Callaghan
- Victoria A. Camba, DO
- Camp 4 Health
- Katharine Marie Campbell, PH.D., L.C.S.W.
- Anthony Campo, M.D.
- Candace Lake Ms LMHC PA
- Courtney Cantrell
- Care Resource Community Health Centers, Inc
- Care Resource Community Health Centers, Inc (Care Resource Pharmacy Oakland Park)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.