Latonya Shay Campbell, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

9566698 Issued in FL

Practice address

12403 Cadley Cir
Jacksonville, FL 32219

Phone

(904) 955-2613

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1972292639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32219",
            "telephone_number": "904-955-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 CADLEY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32219",
            "telephone_number": "904-955-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LATONYA",
        "middle_name": "SHAY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9566698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Douglas Campbell, M.D.
• Jimmy Rex Campbell Jr.
• Joy Campbell, LMT
• Komuni Campbell
• Kylee Campbell
• Lynell L Campbell, OT
• Markia Campbell
• McKenzee Campbell
• Michelle Denise Campbell, LMHC
• Nikkita Campbell

• Case Management Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Registered Nurse in Florida

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