Active NPI
Lilia Dujua Mauricio, M.D.
- Anatomic Pathology Physician
- Nashville, TN
National Provider Identifier
1609873744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD0000033424
- Practice address
- 1916 Patterson St
Suite 501
Nashville, TN 37203-2120 - Phone
- (615) 321-5729
- NPI assigned
- Jul 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD0000033424 | TN | Primary |
Addresses
Primary practice location
1916 Patterson St
Suite 501
Nashville, TN 37203-2120
Mailing address
1916 Patterson St
Suite 501
Nashville, TN 37203-2120
Phone (615) 321-5729
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 |
|---|---|---|---|
| MD0000033424 | TN | MD | Anatomic Pathology Physician |
| 33424 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory for Kidney Pathology Inc | Current | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients | |
| Associated Pathologists, LLC | Anatomic Pathology | Past | Accepting new patients |
Locations
1916 Patterson St
Ste 501
Nashville, TN 37203
Phone (615) 321-5729
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1225035355
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1609873744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 PATTERSON ST",
"address_2": "SUITE 501",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032120",
"telephone_number": "615-321-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 PATTERSON ST",
"address_2": "SUITE 501",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032120",
"telephone_number": "615-321-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURICIO",
"first_name": "LILIA",
"middle_name": "DUJUA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "MD0000033424",
"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 Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.