Vicky Boedigheimer

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5456 Issued in TN

Practice address

3803 Bedford Ave Ste 102
Nashville, TN 37215-2565

Phone

(615) 249-4700

Fax

(615) 206-2345

NPI assigned

Jan 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Vicky Phan Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vboedigheimer@arundel.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration Dermatology PLC

  • MOHS-Micrographic Surgery Physician
  • Nashville, TN
  • NPI 1417698549
  Medicare reassignment NPD
• University Dermatology Associates PLLC

  • Dermatology Physician
  • Washington, DC
  • NPI 1447313580
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1114481496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7833 Old Harding Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372213907",
            "country_code": "US",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Duke Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672948",
            "country_code": "US",
            "telephone_number": "615-249-4700",
            "fax_number": "615-206-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEDIGHEIMER",
        "first_name": "VICKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "5456",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "PHAN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayley Nicole Boddington
• Megan Bodge, PHARM.D.
• Andrew Bodiford, PHARMD
• Aubrey Morgan Bodiford, NP
• Body Enlightenment Chiropractic Care, LLC
• Frank Boehm, MD
• Raychel Boelman
• Jorge Boero, PHD
• Ashley Boeshore, M.ED., BCBA
• Angela Farrison Boffah

• Physician Assistant in Nashville, TN
• Providers in Nashville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.