Individual provider Active NPI

Abhinav Mishra, MD

  • Child & Adolescent Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1265010821
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
70540 Issued in TN
Practice address
1601 23Rd Ave S Ste 3106
Nashville, TN 37212-3133
Phone
(615) 936-2488
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 70540 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X NM

Addresses

Primary practice location

1601 23Rd Ave S Ste 3106
Nashville, TN 37212-3133

Mailing address

1601 23Rd Ave S Ste 3106
Nashville, TN 37212-3133
Phone (615) 936-2488

Other practice location 1

2400 Tucker Avenue NE Msc09-5030
Albuquerque, NM 87131-0001
Phone (505) 272-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70540TNMDChild & Adolescent Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: amishra812729@direct.vumc.org

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1265010821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S STE 3106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-936-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 23RD AVE S STE 3106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123133",
            "telephone_number": "615-936-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Tucker Avenue NE Msc09-5030",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ABHINAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "70540",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.