Campbell'S Multi Service Outreach Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CAMPBELL'S MULTI SERVICE OUTREACH CENTER

Practice address

211 Doris Dr
Lakeland, FL 33813-1006

Phone

(863) 860-4516

Fax

(863) 837-4413

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Latangra McIntosh McIntosh, PMHNPNPI 1831156298

Title

Owner

Phone

(863) 860-4516

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latangra M McIntosh, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1831156298
  NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1831837616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HEMENWAY DR NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812700",
            "telephone_number": "863-860-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 DORIS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131006",
            "telephone_number": "863-860-4516",
            "fax_number": "863-837-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL'S MULTI SERVICE OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LATANGRA",
        "authorized_official_middle_name": "MCINTOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-860-4516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Campbell, ATC
• Julia Campbell
• Michael Larone Campbell, M.D.
• Venessa Campbell
• Campbell'S Caribbean Delight LLC
• Kala Marie Camper, APRN, PMHNP-BC
• Armando Campos
• Crystal Marie Campus
• Canady & Jagdeo Physician Associates P L
• Lysmar Karina Cancho I

• Psychiatric/Mental Health Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.