DR. LISA MICHELE CAMPBELL (NPI# 1659594497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659594497 |
| Entity Type | Individual |
| Full Name | DR. LISA MICHELE CAMPBELL |
| Other Name | DR. LISA MICHELE HAMILTON |
| Credential | D.D.S. |
| Practice Address |
950 County Road 17a W Avon Park FL 33825-2164 |
| Practice Telephone | 8634523000 |
| Practice Fax Number | 8634523069 |
| Mailing Telephone | 8634523000 |
| Mailing Fax Number | 8634523069 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 19960 | OH | Dental Providers |
| N | 122300000X | Dentist | 21248 | TX | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN 19206 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PROVIDER IDENTIFICATION # | 7285021 | 01 |
| DEA | FC2300678 | 01 | |
| FL | 003001500 | 05 | |
| FL | FLORIDA LICENSE | DN 19206 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508334624 | Lisa Michele Campbell | Nurse Practitioner | 228 W Broad St, Mineola, TX 75773-2006 | 2018-11-06 |
| 1942784814 | Lisa Marie Campbell | Nurse Practitioner | 1210 Laguna Dr, Huron, OH 44839-2607 | 2018-09-18 |
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1306394689 | Lisa Campbell | Social Worker | 4309 Lowe Rd, Louisville, KY 40220-1524 | 2016-09-15 |
| 1174920219 | Lisa Campbell | Physical Therapist | 40 Eben St, Milford, MA 01757-1186 | 2014-12-03 |
| 1821363912 | Lisa Marie Campbell | Speech-Language Pathologist | 3800 Parchment Cir, Richmond, VA 23233-7034 | 2012-03-21 |
| 1508043894 | Lisa M Campbell | Perfusionist | 27207 Lahser, Ste 200b, Southfield, MI 48034-8471 | 2008-01-29 |
| 1154501831 | Lisa Campbell | Licensed Practical Nurse | 2131 Grand Ave, Bronx, NY 10453-3209 | 2007-11-09 |
| 1386857795 | Lisa Campbell | Optometrist | 964 Airport Rd Sw Ste 12, Huntsville, AL 35802-1393 | 2007-05-08 |
| 1023142080 | Lisa A Campbell | Physical Therapy Assistant | 299 E State Road 250, Brownstown, IN 47220-9583 | 2007-03-14 |
| Street Address |
950 COUNTY ROAD 17A W |
| City | AVON PARK |
| State | FL |
| Zip Code | 33825-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457422 | Delores R Garcia-chung | Internal Medicine | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2005-09-16 |
| 1972112191 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-07-23 |
| 1760015317 | Central Florida Health Care, Inc. | Clinic/Center | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2020-02-21 |
| 1922583988 | Adriana Gil | Dental Hygienist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2018-09-26 |
| 1831684430 | Elizabeth Rauch | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-06-26 |
| 1336649144 | Teresa Pierre Mcdowall | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825 | 2018-02-19 |
| 1154702348 | Holly Marie Bailey | Social Worker | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2015-06-12 |
| 1609299668 | Misilene Fulse | Pharmacist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2014-01-28 |
| 1962762799 | Natalie Etienne | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-27 |
| 1366702698 | Dawn Carla Mccue | Nurse Practitioner | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528537610 | Cristina Marie Rivera | Physical Therapy Assistant | 1010 Us-27, Avon Park, FL 33825 | 2018-11-19 |
| 1417404021 | Tamara Jean Pierre IIi | Home Health | 742 S Fair View Terr, Avon Park, FL 33825 | 2016-09-01 |
| 1700017118 | Highlands Advanced Rheumatology and Arthritis Center Pl | Internal Medicine | 596 Us 27 N, Avon Park, FL 33825 | 2009-08-03 |
| 1942347083 | National Mentor Healthcare, LLC | Intermediate Care Facility, Mentally Retarded | 55 E. College Dr., Avon Park, FL 33825 | 2007-01-30 |
| 1508803925 | Tina Mclean | Physician Assistant | 1006 West Pleasant Street, Avon Park, FL 33825 | 2006-06-02 |
| 1265901292 | Stephanie Marie De Silva | Speech-Language Pathologist | 1010 Us-27, Avon Park, FL 33825 | 2018-11-20 |
| 1093200693 | Sasha Arbona | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825 | 2018-06-26 |
| 1851700553 | Marisol Caraballo | Internal Medicine | 596 Us Highway 27 N, Avon Park, FL 33825 | 2014-08-06 |
| 1952357816 | Sunaina Khurana | Family Medicine | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2006-05-25 |
| 1467093203 | Grace Salagala | Nurse Practitioner | 1659 Us Highway 27 N Unit 102, Avon Park, FL 33825-2106 | 2019-10-02 |
| Find all providers in zip 33825 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992047161 | Deborah P. Milliken | Dentist | 600 W College Dr, Bldg T-1, Avon Park, FL 33825-9356 | 2013-03-26 |
| 1659580355 | William Chen | Dentist | 2356 Hartford Dr, Avon Park, FL 33825-9523 | 2007-05-21 |
| 1871785469 | Jacinta Gaitor | Dentist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2007-08-16 |
| 1497887863 | Denise Gomara | Dentist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2007-03-12 |
| 1467589937 | Richard M. A. Wood | Dentist | 1701 Us Highway 27 N, Avon Park, FL 33825-9504 | 2007-02-28 |
| 1497768295 | Michelle Sarah Modaff | Dentist | 950 County Road 17a W, Avon Park, FL 33825-2164 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.