Organization Active NPI

Optimal Research Sites, LLC

  • Research Clinic/Center
  • Orange City, FL
National Provider Identifier
1407670425
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
OPTIMAL RESEARCH SITES, LLC
Practice address
2541 S Volusia Ave Ste 100
Orange City, FL 32763-9116
Phone
(386) 218-5911
Fax
(386) 406-8365
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Kimberlee Del Camppo, APRN
Title
Mrs.
Phone
(386) 218-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

2541 S Volusia Ave Ste 100
Orange City, FL 32763-9116

Mailing address

2541 S Volusia Ave Ste 100
Orange City, FL 32763-9116
Phone (386) 218-5911

Other identifiers 8

IdentifierTypeStateIssuer
1053092221MedicaidFL
1285686824MedicaidFL
1881895951MedicaidFL
1548616378MedicaidFL
1366635831MedicaidFL
1679171532OtherFLFAMILY MEDICINE
1013969898MedicaidFL
1952516742OtherFLPEDIATRICS

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL optimalresearchsites.net Direct
Direct Messaging Address admin@optimalresearchsites.net Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2267263Optimal Research Sites, LLC2541 S Volusia Ave, Suite 100, Orange City, FL 32763Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

2541 S Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 218-5911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1407670425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-218-5911",
            "fax_number": "386-406-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 S VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639116",
            "telephone_number": "386-218-5911",
            "fax_number": "386-406-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL RESEARCH SITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "DEL CAMPPO",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "MRS.",
        "authorized_official_telephone_number": "386-218-5911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053092221",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285686824",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881895951",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548616378",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366635831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "1679171532",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013969898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRICS",
            "identifier": "1952516742",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "optimalresearchsites.net",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2541 S Volusia Ave Ste 100",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327639116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@optimalresearchsites.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2541 S Volusia Ave Ste 100",
            "city": "Orange City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327639116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.