JACQUELINE CAMPBELL


Address: 3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541
Phone: 7722033026

JACQUELINE CAMPBELL (NPI# 1619368180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers JACQUELINE CAMPBELL

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

Office Location

Street Address 3189 SW FAMBROUGH ST
City PORT SAINT LUCIE
State FL
Zip Code 34953-4541

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PORT SAINT LUCIE
Zip Code 34953

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Dataset Information

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.

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