Individual provider Active NPI

Lajuana D Campbell, APRN

  • Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1316528003
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11010016 Issued in FL
Practice address
33049 Professional Dr Ste 103
Leesburg, FL 34788-3705
Phone
(352) 353-6967
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11010016 FL Primary

Addresses

Primary practice location

33049 Professional Dr Ste 103
Leesburg, FL 34788-3705

Mailing address

33049 Professional Dr Ste 103
Leesburg, FL 34788-3705
Phone (352) 353-6967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517003157 FL Practitioner - Nurse Practitioner 7618333634 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11010016FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health PLLC CurrentSince Sep 1, 2024 Accepting new patients
Quality Physician Group PLLC CurrentSince May 1, 2023 Accepting new patients
Lake Gastroenterology Associates LLC PastSince Apr 20, 2021 Accepting new patients

Locations

33049 Professional Dr
Ste 101
Leesburg, FL 34788
Phone (352) 353-6797

33049 Professional Dr
Ste 103
Leesburg, FL 34788
Phone (352) 353-6967

33049 Professional Dr
Ste 102
Leesburg, FL 34788
Phone (352) 353-6967

5455 Spencer Ct
Ste 1
Wildwood, FL 34785
Phone (352) 353-6797

Interoperability endpoints

  • Direct secure messaging: lcampbell562428@direct.shands.ufl.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1316528003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33049 PROFESSIONAL DR STE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883705",
            "telephone_number": "352-353-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33049 PROFESSIONAL DR STE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883705",
            "telephone_number": "352-353-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAJUANA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.