Active NPI
Veronica T Mallett, MD
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Nashville, TN
National Provider Identifier
1922064096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- License
- P3924
- Practice address
- 1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501 - Phone
- (615) 327-5944
- Fax
- (615) 327-5555
- NPI assigned
- Apr 26, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40139 | TN | |
| Gynecology Physician | 207VG0400X | 40139 | TN | |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | P3924 | TX | Primary |
Addresses
Primary practice location
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Mailing address
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Phone (615) 327-6204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190563002 | Medicaid | TX | |
| TXB123903 | Other | TX | MEDICARE |
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 |
|---|---|---|---|
| 40139 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare Group I, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| University Women'S Care, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Oakwood Ambulatory LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Oakwood Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1003829441
Obstetrics & Gynecology
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1629081062
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- Obstetrics & Gynecology Physician
- Detroit, MI
- NPI 1780623637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1922064096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 DR DB TODD JR BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083501",
"telephone_number": "615-327-6204",
"fax_number": "615-327-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 DR DB TODD JR BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083501",
"telephone_number": "615-327-5944",
"fax_number": "615-327-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLETT",
"first_name": "VERONICA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "40139",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "40139",
"primary": false
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "TX",
"license": "P3924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190563002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB123903",
"state": "TX"
}
],
"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 Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.