Individual provider Active NPI

Niki Bly Anderson, FNP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1407587538
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35562 Issued in TN
Practice address
3803 Bedford Ave Ste 102
Nashville, TN 37215-2565
Phone
(615) 249-4700
Fax
(615) 206-2345
NPI assigned
Jun 20, 2022
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021356 CA
Family Nurse Practitioner 363LF0000X 35562 TN Primary

Addresses

Primary practice location

3803 Bedford Ave Ste 102
Nashville, TN 37215-2565

Mailing address

3803 Bedford Ave Ste 102
Nashville, TN 37215-2565
Phone (615) 249-4700

Other practice location 1

520 Duke Dr Ste 300
Franklin, TN 37067-2948
Phone (615) 249-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230809004246 CA Practitioner - Nurse Practitioner 8022470988 Reassigns benefits to 1 organization
I20240409004170 TN Practitioner - Nurse Practitioner 8022470988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Dermatology PLCGroup PAC ID 4284021213, 2 clinicians

Practice addresses (Care Compare)

3803 Bedford Ave
Suite 102
Nashville, TN 37215-2565
Phone (615) 249-4700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 17, 2024 Accepting new patients
Artius Dermatology Associates, P.C. CurrentSince Jun 20, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 17, 2024 Accepting new patients
Restoration Dermatology PLC CurrentSince Aug 1, 2025 Accepting new patients
Robert E Beer M D Inc PastSince Aug 1, 2022 Accepting new patients

Locations

9500 Stockdale Hwy
Ste 101
Bakersfield, CA 93311
Phone (661) 541-2017

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

296 Cottage Ave
Manteca, CA 95336
Phone (209) 239-2901

573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050

718 E College St
Dickson, TN 37055
Phone (615) 560-7016

520 Duke Dr
Ste 300
Franklin, TN 37067
Phone (615) 249-4700

3803 Bedford Ave
Ste 102
Nashville, TN 37215
Phone (615) 249-4700

3827 N 10th St
Ste 305
McAllen, TX 78501
Phone (956) 682-9894

Interoperability endpoints

  • Direct secure messaging: nramirez@artiusderm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1407587538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Duke Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672948",
            "country_code": "US",
            "telephone_number": "615-249-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NIKI",
        "middle_name": "BLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.