Aniko Vedette Campbell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN13363 Issued in TN

Practice address

9025 US Highway 64
Lakeland, TN 38002-7981

Phone

(901) 387-2998

Fax

(901) 387-2999

NPI assigned

Apr 10, 2008

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

85.88 of 100Reported as group

Quality

71.04

Promoting interoperability

100

Improvement activities

40

Cost

81.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cordova Pain Specialists, PLLC

  dba NorthStar Pain Management

  • Pain Medicine Physician
  • Cordova, TN
  • NPI 1437565900
  Medicare reassignment NPD
• The Little Clinic of Tennessee LLC

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1487848800
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1023281185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 US HIGHWAY 64",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380027981",
            "telephone_number": "901-387-2998",
            "fax_number": "901-387-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 US HIGHWAY 64",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380027981",
            "telephone_number": "901-387-2998",
            "fax_number": "901-387-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANIKO",
        "middle_name": "VEDETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN13363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Blackwell III
• Beau J Blanchard, DC
• Brenda Blanton
• Clyde Eric Brown
• Richard Browning
• Lupo Tanjuakio Carlota Jr., M.D.
• Pinaky Chakravarty
• Community Behavioral Services LLC
• Andrea Cooper, MSRDLDN
• Rankin Payne Cox, LCSW (5273)

• Family Nurse Practitioner in Lakeland, TN
• Providers in Lakeland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.