Kaitlyn Campo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11603 Sheldon Rd
Tampa, FL 33626-4306

Phone

(813) 792-9843

NPI assigned

Sep 22, 2019

Last updated

Sep 22, 2019By the provider in NPPES

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

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

Specialty

Physician Assistant

Education

Nova Southeastern College of Osteo Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick J McClimans DO PAGroup PAC ID 6002987039, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3420/brand/1/csg/1/fhir/r4
• Direct secure messaging: kaitlyn.campo.1@32810.direct.athenahealth.com

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.

• Frederick J McClimans DO PA

  dba Tampa Bay Bone and Joint Center

  • Orthopaedic Surgery Physician
  • Tampa, FL
  • NPI 1841354578
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Community Hospital, Inc

  dba AdventHealth Carrollwood

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1427068345
  Care Compare affiliation

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1790336782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GENNAKER DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075896",
            "telephone_number": "407-625-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264306",
            "telephone_number": "813-792-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPO",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Campbell, DMD
• William Martin Campbell Sr., RN, CNOR, CRNFA
• Nina Theodora Camperlengo, MD
• Giovanna Luiza Campione-Corso, LCSW
• Annalise J Campisi
• Su Ho Campo, A.P.
• David J Campopiano, ANP- BC, PMHNP-BC
• Enrico Mario Camporesi, MD
• Ained Campos Calderon, L.M.T.
• Javier Campos Calero, RBT

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.

Verify at the official NPI Registry.