BEVERLY CAMPBELL (NPI# 1326467374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326467374 |
| Entity Type | Individual |
| Full Name | BEVERLY CAMPBELL |
| Practice Address |
2808 S 10th St Fort Pierce FL 34982-4306 |
| Practice Telephone | 7726721555 |
| Mailing Telephone | 7726721555 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 6906322 | FL | Nursing Service Related Providers |
| N | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881990349 | Beverly Anne Campbell | Nurse Practitioner | 3440 De Paul Ln Ste 110, Bridgeton, MO 63044-3546 | 2011-02-01 |
| 1619523370 | Beverly Mi Campbell | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-08-16 |
| 1326542234 | Beverly Jean Campbell | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-23 |
| 1184846222 | Beverly Kay Campbell | Psychologist | 29994 Northwestern Highway, B Kay Campbell Phd, Farmington Hills, MI 48334-3225 | 2007-05-02 |
| Street Address |
2808 S 10TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358346 | Steers Healthcare Services Inc | Clinic/Center | 2808 S 10th St, Fort Pierce, FL 34982-4306 | 2017-10-31 |
| 1154866523 | Cherrywood Garden Group Home | Clinic/Center | 2808 S 10th St, Fort Pierce, FL 34982-4306 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241489 | Ganielle Marva Peterson | Nursing Home Administrator | 2773 Se Clareton Ter, Port St Lucie, FL 34952-6621 | 2020-09-30 |
| 1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
| 1629692736 | Michele M Gavin | Nursing Home Administrator | 3450 Kaiser Ave, Saint Cloud, FL 34772-7311 | 2020-06-04 |
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1073147914 | Kemisha Latoya Mathis | Nursing Home Administrator | 2279 W 2nd St, Jacksonville, FL 32209-6906 | 2020-03-01 |
| 1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
| 1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
| 1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
| 1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
| 1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
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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.