Active NPI
Katherine Campbell, APRN
- Nurse Practitioner
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11014054
- Practice address
- 3012 Creekside CT
Sebring, FL 33875-4773 - Phone
- (863) 314-0020
- NPI assigned
- Nov 18, 2015
- Last updated
- Apr 19, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11014054 | FL | Primary |
| Registered Nurse | 163W00000X | RN9373245 | FL |
Addresses
Primary practice location
3012 Creekside CT
Sebring, FL 33875-4773
Mailing address
4020 US Highway 27 N
Sebring, FL 33870-1333
Phone (863) 314-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, VA, LA, TN, GA, DC, SC, WV, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32256
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9373245 | FL | MD | Registered Nurse |
| APRN11014054 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| Monogram Health Professional Services of Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| American Institute of Dermatology PA | Current | Accepting new patients | |
| Millennium Physician Group LLC | Past | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
171 Webb Dr
Ste 1
Davenport, FL 33837
Phone (863) 421-4246
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
3109 Medical Way
Sebring, FL 33870
Phone (863) 386-0786
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342
3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865
5410 Maryland Way
Ste 400
Brentwood, TN 37027
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116
Interoperability endpoints
- katherine.campbell.1@22854.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
Nurse Practitioner
-
- Dermatology Physician
- Sebring, FL
- NPI 1861487795
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
DC, KY, Nurse Practitioner, SC, VA, WV
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
LA, Nurse Practitioner
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1487028122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 US HIGHWAY 27 N",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701333",
"telephone_number": "863-314-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 CREEKSIDE CT",
"city": "SEBRING",
"state": "FL",
"postal_code": "338754773",
"telephone_number": "863-314-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KATHERINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11014054",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9373245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.