Active NPI
Nicholas Steven Mallett, MD
- Student in an Organized Health Care Education/Training Program
- Nashville, TN
National Provider Identifier
1558052670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1211 Medical Center Dr
Nashville, TN 37232-0004 - Phone
- (615) 322-5000
- NPI assigned
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1211 Medical Center Dr
Nashville, TN 37232-0004
Mailing address
1161 21St Ave S # a-0118a
Nashville, TN 37232-2551
Phone (615) 936-0216
Other practice location 1
1310 24th Ave S
Nashville, TN 37212-2637
Phone (615) 327-4751
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230713002560 | TN | Order and Referring Only - Neurology | 2668832338 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- nmallett767761@direct.vumc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1558052670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 21ST AVE S # A-0118A",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372322551",
"telephone_number": "615-936-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 MEDICAL CENTER DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320004",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [
{
"address_1": "1310 24th Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122637",
"country_code": "US",
"telephone_number": "615-327-4751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLETT",
"first_name": "NICHOLAS",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 18, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.