JACQUELINE CAMPBELL (NPI# 1619368180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619368180 |
Entity Type | Individual |
Full Name | JACQUELINE CAMPBELL |
Practice Address |
3189 Sw Fambrough St Port Saint Lucie FL 34953-4541 |
Practice Telephone | 7722033026 |
Mailing Telephone | 7722033026 |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
RN 9219448 | FL | Behavioral Health & Social Service Providers |
N | 163W00000X | Registered Nurse | RN 9219448 | FL | Nursing Service Providers |
N | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN 9219448 | FL | Nursing Service Providers |
N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
RN 9219448 | FL | Nursing Service Related Providers |
Y | 171M00000X | Case Manager/Care Coordinator | RN 9219448 | FL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033541370 | Jacqueline J Campbell | Dietitian, Registered | 308 Hazard Ave, Enfield, CT 06082-4613 | 2013-08-08 |
1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
1598080681 | Jacqueline June Campbell | Licensed Practical Nurse | 1362 East 87th Street, Brooklyn, NY 11236-5136 | 2010-03-31 |
1578785101 | Jacqueline M Campbell | Nurse Practitioner | 473 Alfred Road, Biddeford, ME 04005 | 2007-05-03 |
1720401680 | Jacqueline Campbell | Social Worker | 3406 Glacier Hwy, Juneau, AK 99801-9501 | 2014-01-29 |
1245570084 | Jacqueline Feidler Campbell | Nurse Practitioner | 166 E Main St, Hendersonville, TN 37075-2520 | 2013-02-14 |
1174861843 | Jacqueline Kay Campbell | Occupational Therapist | 213 E Main St, New Bloomfield, PA 17068-9657 | 2013-01-30 |
1083967954 | Jacqueline Rose Campbell | Pharmacist | Corner of Routes N12 & N7, Fort Defiance, AZ 86504-0649 | 2012-10-17 |
1275892242 | Jacqueline A Campbell | Recreation Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2012-05-11 |
1962798264 | Jacqueline M Campbell | Student in an Organized Health Care Education/Training Program | 7162 Reading Rd, Suite 500, Cincinnati, OH 45237-3838 | 2011-06-24 |
Street Address |
3189 SW FAMBROUGH ST |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34953-4541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
Find all providers in zip 34953 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390666 | Mery Quezada | Case Manager/Care Coordinator | 3380 Sw Crestview Rd, Port Saint Lucie, FL 34953-3538 | 2020-06-15 |
1194361303 | Junior Jean-charles | Case Manager/Care Coordinator | 3422 Sw Emden St, Port Saint Lucie, FL 34953-4944 | 2019-11-22 |
1689114365 | Angela Maria Matteo | Case Manager/Care Coordinator | 2374 Sw Freeman Street, Port Saint Lucie, FL 34953-2251 | 2017-03-01 |
1760830517 | Elizabeth Vega-valentin | Case Manager/Care Coordinator | 690 Sw Old Briar Ave, Port Saint Lucie, FL 34953-6347 | 2016-06-01 |
1487001640 | Elliott J. Perrin | Case Manager/Care Coordinator | 1749 Sw Catalonia St, Port Saint Lucie, FL 34987-2072 | 2016-05-18 |
1689052508 | Carla Pilato | Case Manager/Care Coordinator | 155 Nw Swann Mill Cir, Port Saint Lucie, FL 34986-3591 | 2015-05-12 |
1003163155 | Matilde Teresa Barksdale | Case Manager/Care Coordinator | 5818 Nw Beckham Ct, Port Saint Lucie, FL 34986-4146 | 2012-08-08 |
1780960435 | Nell Wilkins | Case Manager/Care Coordinator | 3461 Sw Europe St, Port Saint Lucie, FL 34953-4620 | 2011-10-26 |
1962601401 | Kristine Znne Ziegler | Case Manager/Care Coordinator | 501 Sw Bailey Ter, Port Saint Lucie, FL 34953-2918 | 2007-07-14 |
1285259440 | Larissa Valbrun | Case Manager/Care Coordinator | 567 Nw Lake Whitney Pl Ste 101, Port Saint Lucie, FL 34986-1629 | 2020-06-13 |
Find all providers in PORT SAINT LUCIE |
City | PORT SAINT LUCIE |
Zip Code | 34953 |
Please comment or provide details below to improve the information on JACQUELINE CAMPBELL.
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.