Individual provider Active NPI

Andrei Aragon Avenido, M.D.

  • Psychiatry Physician
  • Murfreesboro, TN
National Provider Identifier
1669786000
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
50993 Issued in TN
Practice address
1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone
(615) 716-1824
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50993 TN Primary

Addresses

Primary practice location

1009 N Thompson LN
Murfreesboro, TN 37129-4351

Mailing address

1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone (615) 716-1824

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826001727 TN Practitioner - Psychiatry 7315165768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1669786000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294351",
            "telephone_number": "615-716-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294351",
            "telephone_number": "615-716-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENIDO",
        "first_name": "ANDREI",
        "middle_name": "ARAGON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "50993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.