VANDERBILT UNIVERSITY MEDICAL CENTER (NPI# 1740319847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740319847 |
| Entity Type | Organization |
| Organization Name | VANDERBILT UNIVERSITY MEDICAL CENTER |
| Other Organization Name | VANDERBILT DIALYSIS CLINIC |
| Practice Address |
1500 21st S Ave Nashville TN 37212-3160 |
| Mailing Address |
719 Thompson Lane Ste 30725a Oho (mail Stop 3170) Nashville TN 37204 |
| Practice Telephone | 6154674070 |
| Practice Fax Number | 6154674079 |
| Mailing Telephone | 6159360910 |
| Mailing Fax Number | 6153224957 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | ANGELA L SIMMONS (VP FINANCE - REVENUE AND REIMBURSEM) |
| Authorized Official Telephone | 6159368875 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 0000000027 | TN | Hospitals |
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Vanderbilt Dialysis Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553155 | Vanderbilt University Medical Center | Pharmacy | 1211 Medical Center Dr # 2906, Nashville, TN 37232-0004 | 2019-11-25 |
| 1972027159 | Vanderbilt University Medical Center | Clinic/Center | 2906 Foster Creighton Dr Ste 100, Nashville, TN 37204-3733 | 2017-07-31 |
| 1770944464 | Vanderbilt University Medical Center | Durable Medical Equipment & Medical Supplies | 3601 The Vanderbilt Clinic Ste 3501, Nashville, TN 37232-5100 | 2016-03-09 |
| 1487029997 | Vanderbilt University Medical Center | Clinic/Center | 1301 Medical Center Dr # 1710, Nashville, TN 37232-0028 | 2015-12-09 |
| 1104202761 | Vanderbilt University Medical Center | Oral & Maxillofacial Surgery | 1301 22nd Ave S, Nashville, TN 37232-5100 | 2015-08-06 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1245485200 | Vanderbilt University Medical Center | Genetic Counselor, MS | Vanderbilt Medical Genetics, Dd-2205 Mcn, Nashville, TN 37232-0001 | 2008-11-18 |
| 1053449660 | Vanderbilt University Medical Center | Clinic/Center | 20 Rachel Drive, Nashville, TN 37214-3609 | 2007-03-02 |
| 1306889597 | Vanderbilt University Medical Center | General Acute Care Hospital | 1411 W. Baddour Parkway, Lebanon, TN 37087-2513 | 2006-06-14 |
| 1821030842 | Vanderbilt University Medical Center | Psychiatric Unit | 500 Park Avenue, Lebanon, TN 37087-3721 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vanderbilt University Medical Center | 1161 21st Avenue South, Medical Center North Suite D-3300, Nashville, TN 37232 |
| Washington State Corporations | VANDERBILT UNIVERSITY MEDICAL CENTER | 1161 21st Ave S #d3300 Mcn, Nashville, TN 37232-0001 |
| New York State Corporations | VANDERBILT UNIVERSITY MEDICAL CENTER | 28 Liberty Street, New York, New York 10005 |
| Iowa Business Entities | VANDERBILT UNIVERSITY MEDICAL CENTER | 1161 21st Ave S. Ste D3300 Mcn, Nashville, TN 37232 |
| Oregon Corporations, Companies and Business Names | VANDERBILT UNIVERSITY MEDICAL CENTER | 1161 21st Avenue South Suite D-3300 Mcn, Nashville, TN 37232 |
| Connecticut Business Registrations | VANDERBILT UNIVERSITY MEDICAL CENTER, INC. | 1161 21st Avenue So., Suite D-3300 Mcn, Nashville, TN 37232 |
| Street Address |
1500 21ST S AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346754330 | Total Renal Care Inc | Clinic/Center | 2292 Rosa L Parks Blvd, Nashville, TN 37228-1306 | 2017-11-29 |
| 1972027159 | Vanderbilt University Medical Center | Clinic/Center | 2906 Foster Creighton Dr Ste 100, Nashville, TN 37204-3733 | 2017-07-31 |
| 1003362294 | Total Renal Care Inc | Clinic/Center | 5209 Linbar Dr Ste 605, Nashville, TN 37211-1037 | 2016-08-29 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1710099536 | Dialysis Associates, LLC | Clinic/Center | 1001 Riverside Dr, Nashville, TN 37206-1429 | 2006-08-31 |
| 1801908629 | Dialysis Associates, LLC | Clinic/Center | 220 W Maplewood Ln, Nashville, TN 37207-2900 | 2006-08-31 |
| 1366554180 | Dialysis Associates, LLC | Clinic/Center | 344 White Bridge Pike, Nashville, TN 37209-3227 | 2006-08-31 |
| 1467485847 | Dialysis Clinic Inc. | Clinic/Center | 1600 Hayes St, Nashville, TN 37203-3034 | 2006-07-08 |
| 1184657561 | Dialysis Clinic Inc. | Clinic/Center | 3229 Clarksville Pike, Nashville, TN 37218-2811 | 2006-07-08 |
| 1790712040 | Dialysis Clinic Inc. | Clinic/Center | 935 21st Ave N, Nashville, TN 37208-3454 | 2006-06-26 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.