Active NPI
Adenike Andito Nkenge Durrant-Campbell
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 248699
- Practice address
- 3712 W Northern Ave Apt 444
Phoenix, AZ 85051-9411 - Phone
- (404) 717-7521
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 248699 | AZ | Primary |
Addresses
Primary practice location
3712 W Northern Ave Apt 444
Phoenix, AZ 85051-9411
Mailing address
PO Box 39196
Phoenix, AZ 85069-9196
Phone (404) 717-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055
3931 E Camelback Rd
Phoenix, AZ 85018-2609
Phone (602) 687-7858
7425 E Shea Blvd
Suite 108
Scottsdale, AZ 85260-6411
Phone (480) 348-1060
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226
9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248699 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Current | Accepting new patients |
Locations
9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1952087983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39196",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699196",
"telephone_number": "404-717-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 W NORTHERN AVE APT 444",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850519411",
"telephone_number": "404-717-7521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRANT-CAMPBELL",
"first_name": "ADENIKE",
"middle_name": "ANDITO NKENGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "248699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.