Active NPI
Michelle Vasireddy, PA-C
- Physician Assistant
- Germantown, TN
National Provider Identifier
1891192241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000002607
- Practice address
- 7505 Capital Dr
Germantown, TN 38138-3848 - Phone
- (901) 730-0575
- NPI assigned
- Dec 1, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0000002607 | TN | Primary |
Addresses
Primary practice location
7505 Capital Dr
Germantown, TN 38138-3848
Mailing address
1661 International Dr
Memphis, TN 38120-1430
Phone (901) 206-4495
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 |
|---|---|---|---|
| PA0000002607 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Germantown Private Psychiatry PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6144/brand/1/csg/1/fhir/r4
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.
-
- Child & Adolescent Psychiatry Physician
- Germantown, TN
- NPI 1467799767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1891192241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 INTERNATIONAL DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201430",
"telephone_number": "901-206-4495",
"fax_number": "901-425-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 CAPITAL DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383848",
"telephone_number": "901-730-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASIREDDY",
"first_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-01",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000002607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
- Noam A Vanderwalde, MD
- Martha Jane Vandyck, DPH
- Anne Katherine Vanlandingham, MPT
- Vascular and Vein Institute of the South, PLLC
- Vascular and Vein Institute of the South, PLLC
- Catherine Alexander Vaughan, M.D.
- Paige Vazeii, PTA
- Pamela A Venegas, M.D.
- Brooke Veneklase, M.C.D.,CCC-SLP
- Jaya Venkataraman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.