Individual provider Active NPI

Vijaya Lakshmi Jaleel

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1962651521
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
607 Issued in TN
Practice address
1005 Dr. D.B. Todd Jr. Blvd.
Elam Center
Nashville, TN 37208
Phone
(615) 327-6350
Fax
(615) 327-6260
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 607 TN Primary

Addresses

Primary practice location

1005 Dr. D.B. Todd Jr. Blvd.
Elam Center
Nashville, TN 37208

Mailing address

2929 Old Franklin Rd
Apt. # 920
Antioch, TN 37013-3198
Phone (606) 422-2753

Other names 1

  • Dr. Vijaya Lakshmi Kammili Former name

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
607TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1962651521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 OLD FRANKLIN RD",
            "address_2": "APT. # 920",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133198",
            "telephone_number": "606-422-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D.B. TODD JR. BLVD.",
            "address_2": "ELAM CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-327-6350",
            "fax_number": "615-327-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALEEL",
        "first_name": "VIJAYA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYA",
            "last_name": "KAMMILI",
            "middle_name": "LAKSHMI",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 18, 2008; 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.