Individual provider Active NPI

Lizbet Chavez Marin, DO

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
National Provider Identifier
1073205845
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
719 Thompson LN Ste 20400
Nashville, TN 37204-4600
Phone
(615) 936-2187
Fax
(615) 936-3218
NPI assigned
May 22, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

719 Thompson LN Ste 20400
Nashville, TN 37204-4600

Mailing address

719 Thompson LN Ste 20400
Nashville, TN 37204-4600
Phone (615) 936-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000782 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4183084510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center PastSince Jul 31, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lchavezmarin767654@direct.vumc.org

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, 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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1073205845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LN STE 20400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044600",
            "telephone_number": "615-936-2187",
            "fax_number": "615-936-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LN STE 20400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372044600",
            "telephone_number": "615-936-2187",
            "fax_number": "615-936-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ MARIN",
        "first_name": "LIZBET",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.