Active NPI
Diseiye Iyebote
- Psychiatry Physician
- Nashville, TN
National Provider Identifier
1831629583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1831629583
- Practice address
- 1005 Dr. D. B. Todd Jr. Boulevard
Nashville, TN 37208-3684 - Phone
- (615) 327-6350
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1831629583 | TN | Primary |
Addresses
Primary practice location
1005 Dr. D. B. Todd Jr. Boulevard
Nashville, TN 37208-3684
Mailing address
1201 Church Street
545
Nashville, TN 37203
Phone (703) 615-6034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1831629583 | TN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831629583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CHURCH STREET",
"address_2": "545",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37203",
"telephone_number": "703-615-6034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 DR. D. B. TODD JR. BOULEVARD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083684",
"telephone_number": "615-327-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYEBOTE",
"first_name": "DISEIYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "1831629583",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.