Individual provider Active NPI

Jaime Moises Vasquez, M.D.

  • Specialist
  • Nashville, TN
National Provider Identifier
1629091301
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000021256 Issued in TN
Practice address
2410 Patterson St Ste 401
Nashville, TN 37203-6520
Phone
(615) 321-8899
Fax
(615) 321-8877
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000021256 TN Primary

Addresses

Primary practice location

2410 Patterson St Ste 401
Nashville, TN 37203-6520

Mailing address

2410 Patterson St Ste 401
Nashville, TN 37203-6520
Phone (615) 321-8899

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 31, 2016 through Aug 31, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000021256TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesia Inc CurrentSince Nov 13, 2023 Accepting new patients
Sda Consultants PLLC PastSince May 17, 2020 Accepting new patients

Locations

2410 Patterson St
Ste 401
Nashville, TN 37203
Phone (615) 321-8899

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1629091301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036520",
            "telephone_number": "615-321-8899",
            "fax_number": "615-321-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PATTERSON ST STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036520",
            "telephone_number": "615-321-8899",
            "fax_number": "615-321-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JAIME",
        "middle_name": "MOISES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000021256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.