Individual provider Active NPI

Vicki Little Chandler, FNP

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1982617221
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN64657 Issued in TN
Practice address
5220 Park Ave
Suite 100
Memphis, TN 38119-3500
Phone
(901) 685-8245
Fax
(901) 685-8248
NPI assigned
Aug 15, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN64657 TN Primary
Family Medicine Physician 207Q00000X APN5907 TN

Addresses

Primary practice location

5220 Park Ave
Suite 100
Memphis, TN 38119-3500

Mailing address

5220 Park Ave Ste 100
Memphis, TN 38119-3541
Phone (901) 685-8245

Other identifiers 1

IdentifierTypeStateIssuer
4069433OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, ME2 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
I20120622000328 TN Practitioner - Nurse Practitioner 7810152949 Reassigns benefits to 1 organization
I20250627002789 ME Practitioner - Nurse Practitioner 7810152949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Minds Counseling IncGroup PAC ID 0840729562, 18 clinicians

Practice addresses (Care Compare)

222 Auburn St
Suite 103
Portland, ME 04103-6005
Phone (207) 616-1127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN5907TNMDFamily Medicine Physician
RN64657TNMDFamily Medicine Physician
5907TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Counseling, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Mid-South Internal Medicine Specialists, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Cordova Internal Medicine, PLLC Past Accepting new patients
Healthy Wellness Inc. Past Accepting new patients

Locations

222 Auburn St
Ste 103
Portland, ME 04103
Phone (207) 373-8522

7550 Wolf River Blvd
Ste 102
Germantown, TN 38138
Phone (901) 767-5000

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, 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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1982617221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 PARK AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193541",
            "telephone_number": "901-685-8245",
            "fax_number": "901-685-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 PARK AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193500",
            "telephone_number": "901-685-8245",
            "fax_number": "901-685-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "VICKI",
        "middle_name": "LITTLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "RN64657",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN5907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4069433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.