Individual provider Active NPI

Anastasia Lopiccolo Camp, ANP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1407227531
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP08526 Issued in LA
Practice address
8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2814
Phone
(225) 766-4133
Fax
(225) 766-4135
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08526 LA Primary

Addresses

Primary practice location

8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2814

Mailing address

8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2814
Phone (225) 766-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20151202000339 LA Practitioner - Nurse Practitioner 9335449099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedica of Louisiana, LLCGroup PAC ID 4789825837, 19 clinicians

Practice addresses (Care Compare)

8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2814
Phone (225) 766-4133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08526LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homedica of Louisiana, LLC CurrentSince Aug 31, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 15, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 15, 2015 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

8923 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 766-4133

1430 Tulane Ave
#8535
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1407227531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102814",
            "telephone_number": "225-766-4133",
            "fax_number": "225-766-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102814",
            "telephone_number": "225-766-4133",
            "fax_number": "225-766-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "ANASTASIA",
        "middle_name": "LOPICCOLO",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.