Shaquala Campbell, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN9229071 Issued in FL

Practice address

25058 Blue Star Hwy
Quincy, FL 32351-7264

Phone

(850) 590-5501

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Nurses on a Mission Inc

  • Primary Care Clinic/Center
  • Quincy, FL
  • NPI 1720776438
  NPD Authorized official

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1649957200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323330182",
            "telephone_number": "850-590-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25058 BLUE STAR HWY",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323517264",
            "telephone_number": "850-590-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHAQUALA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9229071",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9229071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720776438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Burkhead, D.C.
• Kayla Brooke Burnett, M.ED., CCC-SLP
• C & T Companion and Transport Services LLC
• C & T Homemaker & Companion Services LLC
• C & T Medical Courier and Transport Services
• Anessa Canidate
• Karina Cantero
• Capsules Health Company
• Enid Caraballo, DMD
• Cardiology and Internal Medicine Group of North Florida P a

• Community Health Registered Nurse in Quincy, FL
• Providers in Quincy, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.