TANISHA CAMPBELL (NPI# 1164725933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164725933 |
| Entity Type | Individual |
| Full Name | TANISHA CAMPBELL |
| Practice Address |
2020 Commerce Dr Melbourne FL 32904-2335 |
| Practice Telephone | 3217225200 |
| Mailing Telephone | 3217225200 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN5190566 | FL | Nursing Service Providers |
| Street Address |
2020 COMMERCE DR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793407 | Kelly Fuller | Nurse Practitioner | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2019-01-09 |
| 1952741845 | Stephanie Dean Fish | Registered Nurse | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2013-06-25 |
| 1538362439 | David Cyrus Ray | Pharmacist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-06-07 |
| 1023141033 | Sheila Ponce | Psychologist | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-03-13 |
| 1598807059 | Sarah Tyler | Social Worker | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-13 |
| 1245371160 | James Braun | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1285775122 | Patti Diane Gibbons | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1295876035 | Harry Hillmer | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1558402446 | Mary Allen | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| 1083755995 | Joan Becker | Counselor | 2020 Commerce Dr, Melbourne, FL 32904-2335 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960730 | Marissa Cherva Scott | Licensed Practical Nurse | 2822 Temple Ter, Melbourne, FL 32935-2065 | 2019-12-31 |
| 1932606563 | Kirby Pool | Licensed Practical Nurse | 889 Main St, Melbourne, AR 72556-8205 | 2018-04-10 |
| 1194187294 | Jennifer Meyer | Licensed Practical Nurse | 3004 Fountainhead Cir, Apt# 116, Melbourne, FL 32934-7328 | 2016-03-28 |
| 1265803449 | Athenia Frazier | Licensed Practical Nurse | 3238 W New Haven Ave, Melbourne, FL 32904-3536 | 2015-10-13 |
| 1912145251 | Eugene David Browning | Licensed Practical Nurse | 3766 Town Square Blvd, Melbourne, FL 32901-8770 | 2009-01-24 |
| 1699958082 | Marcia Cooper | Licensed Practical Nurse | 2158 Laden Rd, Melbourne, FL 32935-3035 | 2007-12-10 |
| 1437341690 | Lee Mcnulty | Licensed Practical Nurse | 3464 Horse Creek Cir, Melbourne, FL 32935-7401 | 2007-08-13 |
| 1255532735 | Nicole Akyaa Marquez | Licensed Practical Nurse | 3000 Savannah Way, 201, Melbourne, FL 32935-3643 | 2007-05-30 |
| 1316168206 | Claire Brown | Licensed Practical Nurse | 4561 Beck Lake Trl, Melbourne, FL 32901-8802 | 2007-05-01 |
| 1306470786 | Amber Lynn Hall | Licensed Practical Nurse | 889 Main St, Melbourne, AR 72556-8205 | 2020-02-25 |
| Find all providers in MELBOURNE | ||||
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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.