Active NPI
Mahshid Moradiseresht, M.D.
- Student in an Organized Health Care Education/Training Program
- Nashville, TN
National Provider Identifier
1871818856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MDST636
- Practice address
- 221 Stewarts Ferry Pike
Nashville, TN 37214-3325 - Phone
- (615) 902-7400
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MDST636 | TN | Primary |
Addresses
Primary practice location
221 Stewarts Ferry Pike
Nashville, TN 37214-3325
Mailing address
221 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 902-7400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDST636 | TN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1871818856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 STEWARTS FERRY PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143325",
"telephone_number": "615-902-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 STEWARTS FERRY PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143325",
"telephone_number": "615-902-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORADISERESHT",
"first_name": "MAHSHID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": "MDST636",
"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 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.