Individual provider Active NPI

Matthieu Jabaudon, MD, PHD

  • Critical Care Medicine (Anesthesiology) Physician
  • Nashville, TN
National Provider Identifier
1205464104
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
635679 Issued in TN
Practice address
420 Elmington Ave Apt 605
Nashville, TN 37205-2586
Phone
(629) 888-7215
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 635679 TN Primary

Addresses

Primary practice location

420 Elmington Ave Apt 605
Nashville, TN 37205-2586

Mailing address

420 Elmington Ave Apt 605
Nashville, TN 37205-2586
Phone (629) 888-7215

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthieu.jabaudon@vumc.org Vanderbilt University Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
635679TNMDCritical Care Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205464104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ELMINGTON AVE APT 605",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052586",
            "telephone_number": "629-888-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ELMINGTON AVE APT 605",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052586",
            "telephone_number": "629-888-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAUDON",
        "first_name": "MATTHIEU",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TN",
            "license": "635679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthieu.jabaudon@vumc.org",
            "affiliation": "Y",
            "endpointDescription": "Professional email address",
            "affiliationName": "Vanderbilt University Medical Center",
            "address_1": "1211 Medical Center Dr # 2906",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372320004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.