Individual provider Active NPI

Jyotika Devi Vazirani, CRNP CS P

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Washington, DC
National Provider Identifier
1710172895
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN64943 Issued in DC
Practice address
1213 U Street NW
Suite 1
Washington, DC 20009
Phone
(301) 404-8196
Fax
(301) 593-1033
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R130047 MD
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN64943 DC Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R130047 MD

Addresses

Primary practice location

1213 U Street NW
Suite 1
Washington, DC 20009

Mailing address

1632 Oaklawn CT
Silver Spring, MD 20903-1415
Phone (301) 404-8196

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R130047MDMDPsychiatric/Mental Health Nurse Practitioner
RN64943DCMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1710172895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 OAKLAWN CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031415",
            "telephone_number": "301-404-8196",
            "fax_number": "301-593-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 U STREET NW",
            "address_2": "SUITE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20009",
            "telephone_number": "301-404-8196",
            "fax_number": "301-593-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRANI",
        "first_name": "JYOTIKA",
        "middle_name": "DEVI",
        "name_prefix": "Ms.",
        "credential": "CRNP CS P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R130047",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN64943",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R130047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.