Tekela Lashay Campbell, FNP
Individual provider Active NPI Family Nurse Practitioner · Horn Lake, MS
NPI 1366029993 · NPPES record last updated Mar 28, 2021
Key facts
- NPI
- 1366029993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 903184 (MS)
- Practice address
- 3224 Latimer Court CV
Horn Lake, MS 38637-6078 - Phone
- (662) 417-5655
- NPI assigned
- Mar 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2911 Brunswick Rd
Bartlett, TN 38133-4105
909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474
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 |
|---|---|---|---|---|
| I20260204002638 | TN | Practitioner - Nurse Practitioner | 7012496656 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903184 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Medical Associates | Current |
Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 303
Sparks, MD 21152
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
205 Powell Pl
Brentwood, TN 37027
Phone (615) 369-0614
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903184 | MS | Yes |
Addresses
Primary practice location
3224 Latimer Court CV
Horn Lake, MS 38637-6078
Mailing address
3224 Latimer Court CV
Horn Lake, MS 38637-6078
Phone (662) 417-5655
Other providers in Horn Lake, MS
- Brequia Bozeman
- Anjali Patel Brahmbhatt
- Melissa A Breitling
- Pamela Breland
- Kelsey J Bryant
- Care Haven Day Center
- Ethan Conrad Casey
- Kesha Lashun Cheki
- Kyle Patrick Cobb
- Christen Colvett
All providers in Horn Lake, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2021. 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.