CAMILLE DESIREE MARKHAM PMHNP-BC NPI 1972114023

NPI Information

  • NPI: 1972114023
  • Provider Name: CAMILLE DESIREE MARKHAM, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5325 SR 64
    BRADENTON, FL
    ZIP 34208
  • Phone: (941) 277-9922

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NPI Details

Camille Desiree Markham, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bradenton, FL with 6 years of experience. Camille Desiree Markham, PMHNP-BC NPI is 1972114023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5325 SR 64
BRADENTON, FL
ZIP 34208
Phone: (941) 277-9922
Fax: (941) 277-9933

The NPI 1972114023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2900802FLORIDANo
2163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent11007822FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health1107822FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1108066500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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