Active NPI
Jason Matthew Quevreaux, M.D.
- Pain Medicine (Anesthesiology) Physician
- Nashville, TN
National Provider Identifier
1629498027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 57679
- Practice address
- 1310 24TH Ave S
Nashville, TN 37232-2730 - Phone
- (860) 455-5504
- NPI assigned
- Apr 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 57679 | TN | Primary |
Addresses
Primary practice location
1310 24TH Ave S
Nashville, TN 37232-2730
Mailing address
1310 24TH Ave S
Nashville, TN 37232-2730
Phone (860) 455-5504
Other practice location 1
1161 21st Ave S
D4313 MCN
Nashville, TN 37232-2730
Phone (615) 343-2735
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57679 | TN | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1629498027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372322730",
"telephone_number": "860-455-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 24TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372322730",
"telephone_number": "860-455-5504"
}
],
"practiceLocations": [
{
"address_1": "1161 21st Ave S",
"address_2": "D4313 MCN",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372322730",
"country_code": "US",
"telephone_number": "615-343-2735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEVREAUX",
"first_name": "JASON",
"middle_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-24",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "57679",
"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 Aug 12, 2019; 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.