NICOLE A CAMPOS (NPI# 1205226321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205226321 |
| Entity Type | Individual |
| Full Name | NICOLE A CAMPOS |
| Credential | PA-C |
| Practice Address |
500 Winderley Pl Suite 115 Maitland FL 32751-7247 |
| Mailing Address |
5465 Factors Walk Dr Sanford FL 32771-8535 |
| Practice Telephone | 4078750555 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108497 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673393 | Nicole Danelle Campos | Community Health Worker | 1133 E Rhea St, Long Beach, CA 90806-5125 | 2018-06-18 |
| 1679882955 | Nicole Monique Campos | Counselor | 126 Front St, Santa Cruz, CA 95060-4402 | 2010-10-04 |
| Street Address |
500 WINDERLEY PL SUITE 115 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-7247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891783361 | Steven Nazario | Emergency Medicine | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2005-10-10 |
| 1245788967 | Adriana Haralson | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-09-12 |
| 1386198737 | Arianne Michelle Berkland | Physician Assistant | 500 Winderley Pl, Suit 115, Maitland, FL 32751-7247 | 2016-08-14 |
| 1093268245 | Alora Oliver | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-24 |
| 1760835110 | Elexis Lauren Braverman | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-21 |
| 1063865525 | Brian Nicholas Jammel | Physician Assistant | 500 Winderley Pl, #115, Maitland, FL 32751-7247 | 2016-07-20 |
| 1558714113 | Megan Emons Mathews | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-19 |
| 1841644556 | Yarelis Figueroa Matias | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-19 |
| 1194189373 | Jessica Wagman | Registered Nurse | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-13 |
| 1093178105 | Melissa Osborne | Nurse Practitioner | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346771995 | Juan Jose Montoya Jr. | Physician Assistant | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2017-03-24 |
| 1386198737 | Arianne Michelle Berkland | Physician Assistant | 500 Winderley Pl, Suit 115, Maitland, FL 32751-7247 | 2016-08-14 |
| 1063865525 | Brian Nicholas Jammel | Physician Assistant | 500 Winderley Pl, #115, Maitland, FL 32751-7247 | 2016-07-20 |
| 1104265404 | Meghan Elizabeth Muccigrosso | Physician Assistant | 260 Lookout Pl, Suite 103, Maitland, FL 32751-4485 | 2013-06-19 |
| 1750529806 | Felicia R Miller | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2009-01-28 |
| 1508072331 | Kerfala Fofana | Physician Assistant | 500 Winderley Pl Ste 115, Maitland, FL 32751-7406 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.