Sandeep Vasishta, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT0000001341 Issued in TN

Practice address

116 Beaver Valley CV S
Cordova, TN 38018-7724

Phone

(901) 759-1617

Fax

(800) 781-4548

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114131331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BEAVER VALLEY CV S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187724",
            "telephone_number": "901-759-1617",
            "fax_number": "800-781-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BEAVER VALLEY CV S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187724",
            "telephone_number": "901-759-1617",
            "fax_number": "800-781-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASISHTA",
        "first_name": "SANDEEP",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "OT0000001341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Clark Utley, D.D.S.,M.S
• Deshel Stringfellow Valley, MS
• Maja Corne Vaneck, PT,DPT,COMT,OCS
• Elizabeth Ann Vannucci, M.D.
• Shannon Vantreese
• Sarah Elisabeth Vasquez
• Renga I Vasu, M.D.
• Donnie A Vaughan, HIS
• Thomas W. Vaughan, HIS
• Dominique Nicole Vaughn, AGNP-C

• Specialist in Cordova, TN
• Providers in Cordova, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.