Venessa Campbell

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

1315075 Issued in FL

Practice address

997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913

Phone

(863) 874-4039

Fax

(863) 816-6963

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Campbell'S Caribbean Delight LLC

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
  • NPI 1013616465
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1639877129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 E MEMORIAL BLVD STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011913",
            "telephone_number": "863-874-4039",
            "fax_number": "863-816-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 E MEMORIAL BLVD STE 103",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011913",
            "telephone_number": "863-874-4039",
            "fax_number": "863-816-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VENESSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "1315075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angilee Kay Campbell
• David Alex Campbell, D.D.S.
• Dustin Campbell, ATC
• Julia Campbell
• Michael Larone Campbell, M.D.
• Campbell'S Caribbean Delight LLC
• Campbell'S Multi Service Outreach Center
• Kala Marie Camper, APRN, PMHNP-BC
• Armando Campos
• Crystal Marie Campus

• Technician/Technologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.