Aniko Vedette Campbell, FNP
Individual provider Active NPI Family Nurse Practitioner · Lakeland, TN
NPI 1023281185 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1023281185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN13363 (TN)
- Practice address
- 9025 US Highway 64
Lakeland, TN 38002-7981 - Phone
- (901) 387-2998
- Fax
- (901) 387-2999
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.88 of 100
- Quality
- 71.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.88
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224002612 | TN | Practitioner - Nurse Practitioner | 9234208992 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN13363 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cordova Pain Specialists, PLLC | Current |
Accepting new patients | |
| The Little Clinic of Tennessee LLC | Family | Current |
Accepting new patients |
Locations
1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733
9025 US Highway 64
Lakeland, TN 38002
Phone (901) 383-2265
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN13363 | TN | Yes |
Addresses
Primary practice location
9025 US Highway 64
Lakeland, TN 38002-7981
Mailing address
9025 US Highway 64
Lakeland, TN 38002-7981
Phone (901) 387-2998
Other providers in Lakeland, TN
- Robert Lee Blackwell III
- Beau J Blanchard
- Brenda Blanton
- Clyde Eric Brown
- Richard Browning
- Lupo Tanjuakio Carlota Jr.
- Pinaky Chakravarty
- Community Behavioral Services LLC
- Andrea Cooper
- Rankin Payne Cox
All providers in Lakeland, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.