Individual provider Active NPI

David G. Campbell-O'Dell, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1609894047
Registry record updated Oct 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0940332 Issued in FL
Practice address
1200 4TH St
Suite 308
Key West, FL 33040-3763
Phone
(305) 394-4785
Fax
(888) 316-6115
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0940332 FL Primary

Addresses

Primary practice location

1200 4TH St
Suite 308
Key West, FL 33040-3763

Mailing address

1200 4TH St
Suite 308
Key West, FL 33040-3763
Phone (305) 394-4785

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
I20250321003142 FL Order and Referring Only - Nurse Practitioner 4082625876

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0940332FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Multi Specialty Medical Group, PA Past Accepting new patients

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446249600000",
    "number": "1609894047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 4TH ST",
            "address_2": "SUITE 308",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403763",
            "telephone_number": "305-394-4785",
            "fax_number": "888-316-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 4TH ST",
            "address_2": "SUITE 308",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403763",
            "telephone_number": "305-394-4785",
            "fax_number": "888-316-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-O'DELL",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "0940332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.