Active NPI
Nalini Tulsidas Vassa, M.D.
- Nephrology Physician
- Kennewick, WA
National Provider Identifier
1386746220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD00044334
- Practice address
- 510 N Colorado St
Suite a
Kennewick, WA 99336-7770 - Phone
- (509) 735-6689
- Fax
- (509) 735-6998
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00044334 | WA | |
| Nephrology Physician | 207RN0300X | MD00044334 | WA | Primary |
Addresses
Primary practice location
510 N Colorado St
Suite a
Kennewick, WA 99336-7770
Mailing address
8514 W Gage Blvd
Ste G
Kennewick, WA 99336-8108
Phone (509) 222-1275
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0243128 | Other | WA | LABOR & INDUSTRIES |
| 8415580 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00044334 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BC Missouri Emergency Physicians, LLP | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Farmington, MO
- NPI 1396760062
-
- Emergency Medicine Physician
- Bonne Terre, MO
- NPI 1952326621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1386746220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 W GAGE BLVD",
"address_2": "STE G",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368108",
"telephone_number": "509-222-1275",
"fax_number": "509-491-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N COLORADO ST",
"address_2": "SUITE A",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367770",
"telephone_number": "509-735-6689",
"fax_number": "509-735-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSA",
"first_name": "NALINI",
"middle_name": "TULSIDAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00044334",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD00044334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0243128",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8415580",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.