Active NPI
Lydia Jo Campbell, APRN
- Certified Registered Nurse Anesthetist
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9302121
- Practice address
- 15205 Cortez Blvd
Brooksville, FL 34613-6072 - Phone
- (352) 597-7744
- Fax
- (352) 597-7797
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN9302121 | FL | Primary |
Addresses
Primary practice location
15205 Cortez Blvd
Brooksville, FL 34613-6072
Mailing address
14746 Naimisha Loop
Spring Hill, FL 34609-0778
Phone (864) 488-6811
Other names 1
- Ms. Lydia Kessluk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12102 Cortez Blvd
Brooksville, FL 34613-5514
Phone (352) 597-4000
12102 Cortez Blvd FL
Suite 5514
Brooksville, FL 34613-5514
6225 66 St N
Pinellas Park, FL 33781-5025
Phone (727) 521-0994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1443 | SC | MD | Registered Dietitian |
| APRN9302121 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Gastroenterology PA | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| West Central Gastroenterology LLP | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gaffney Hma LLC | Past | Accepting new patients | |
| Anesthesiologist Associates PA | Past | Accepting new patients | |
| Lancaster Anesthesia & Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
12102 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-4000
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Brooksville, FL
- NPI 1235246240
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Hudson, FL
- NPI 1306889910
-
- General Acute Care Hospital
- Gaffney, SC
- NPI 1508800186
-
- Certified Registered Nurse Anesthetist
- Lancaster, SC
- NPI 1104898329
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1467513085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14746 NAIMISHA LOOP",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346090778",
"telephone_number": "864-488-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15205 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346136072",
"telephone_number": "352-597-7744",
"fax_number": "352-597-7797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LYDIA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9302121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "KESSLUK",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.