SHERESA KETRON CAMPBELL (NPI# 1952344020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952344020 |
Entity Type | Individual |
Full Name | SHERESA KETRON CAMPBELL |
Credential | APRN |
Practice Address |
15901 Bass Rd Suite 102 Fort Myers FL 33908 |
Mailing Address |
P.o. Box 2147 Ft Myers FL 33902-2147 |
Practice Telephone | 2393439890 |
Practice Fax Number | 2393439898 |
Mailing Telephone | 2393439890 |
Mailing Fax Number | 2393439898 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2020-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
APRN1411892 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 307034400 | 05 |
Street Address |
15901 BASS RD SUITE 102 |
City | FORT MYERS |
State | FL |
Zip Code | 33908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
1174877104 | Kathleen N Tenrreiro | Nurse Practitioner | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2012-10-29 |
1821397456 | Natalie A Gillson | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908 | 2011-03-22 |
1811126253 | Sujana Reddy | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2009-07-07 |
1992943781 | Guillermo A Philipps | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2009-02-02 |
1336390970 | Melissa I Lee | Obstetrics & Gynecology | 15901 Bass Rd, Suite 100, Fort Myers, FL 33908-3838 | 2008-10-01 |
1326250523 | Dina Belachew Pearson | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2007-05-03 |
1336368927 | Britt Allen Stroud | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2007-04-24 |
1093875106 | Sheila Margaret Rossell | Nurse Practitioner | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2006-12-11 |
1265444715 | Asjad U Khan | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2006-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
Find all providers in zip 33908 |
Taxonomy Code | 364SN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154671600 | Laurie P. Milliner | Clinical Nurse Specialist | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2012-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912541350 | Karolynn Trabanco | Clinical Nurse Specialist | 2001 W 68th St, Hialeah, FL 33016-1801 | 2019-10-29 |
1083804561 | Michelle Lynn Urig | Clinical Nurse Specialist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-07-31 |
City | FORT MYERS |
Zip Code | 33908 |
Please comment or provide details below to improve the information on SHERESA KETRON 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.