Active NPI
Rafael Leonardo Prieto, M.D.
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
National Provider Identifier
1699710426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 40917
- Practice address
- 3443 Dickerson Pike Ste 730
Nashville, TN 37207-2527 - Phone
- (615) 972-1100
- Fax
- (615) 537-4950
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 40917 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike Ste 730
Nashville, TN 37207-2527
Mailing address
353 New Shackle Island Rd Ste 148C
Hendersonville, TN 37075-2366
Phone (615) 972-1100
Other practice location 1
353 New Shackle Island Rd Ste 148C
Hendersonville, TN 37075-2366
Phone (615) 972-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005901 | Medicaid | TN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine and Rehabilitation Associates of El Paso, P.a. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- El Paso, TX
- NPI 1306867890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1699710426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 NEW SHACKLE ISLAND RD STE 148C",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370752366",
"telephone_number": "615-972-1100",
"fax_number": "615-537-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE STE 730",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072527",
"telephone_number": "615-972-1100",
"fax_number": "615-537-4950"
}
],
"practiceLocations": [
{
"address_1": "353 New Shackle Island Rd Ste 148C",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "TN",
"postal_code": "370752366",
"country_code": "US",
"telephone_number": "615-972-1100",
"fax_number": "615-537-4950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIETO",
"first_name": "RAFAEL",
"middle_name": "LEONARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "40917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005901",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Lanora Renae Pride, RBT
- Priest Lake Adult Day Care
- Edward M Priest II, MD
- Mark Priestley, AG-ACNP
- Carlos Nicolas Prieto Granada, M.D.
- Alexander Prikhojan, M.D.
- Primary Care and Pain Relief Center Dba Nashvillehealth Services, Inc.
- Primary Care Center Corp
- Prime Elite Services Inc
- Prime Horzon Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.