Provider Type Icon

VANDERBILT UNIVERSITY MEDICAL CENTER NPI 1427394634


NPI Information

NPI: 1427394634
Provider Name: VANDERBILT UNIVERSITY MEDICAL CENTER
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 44D2197542

Address:
1161 21ST AVE S
AA204 MCN
NASHVILLE, TN
ZIP 37232
Phone: (615) 496-6860
Get Directions

VANDERBILT UNIVERSITY MEDICAL CENTER is a critical care medicine nurse practitioner in Nashville, TN. VANDERBILT UNIVERSITY MEDICAL CENTER NPI is 1427394634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1161 21ST AVE S
AA204 MCN
NASHVILLE, TN
ZIP 37232-102
Phone: (615) 496-6860

The provider's authorized official is Katherine Jackowski .
The authorized official title is Acute Care Nurse Practitioner and has the following contact phone number (615) 496-6860.

The CLIA number assigned to this NPI record is 44D2197542 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LC0200XNurse PractitionerCritical Care Medicine17202TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.