VANDERBILT UNIVERSITY MEDICAL CENTER
NPI 1427394634
Nurse Practitioner - Critical Care Medicine in Nashville, TN

NPI Status: Active since December 14, 2012

Contact Information

1161 21ST AVE S
AA204 MCN
NASHVILLE, TN
ZIP 37232
Phone: (615) 496-6860

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  • Organization
  • Nurse Practitioner
  • Critical Care Medicine
  • CLIA Number: 44D2197542
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2027

About VANDERBILT UNIVERSITY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Vanderbilt University Medical Center, a provider established in Nashville, Tennessee operating as a Nurse Practitioner, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1427394634 assigned on December 2012. The practitioner's primary taxonomy code is 363LC0200X with license number 17202 (TN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Katherine Jackowski (Acute Care Nurse Practitioner)

NPI
1427394634
Provider Name
VANDERBILT UNIVERSITY MEDICAL CENTER
Entity Type
Organization
Location Address
1161 21ST AVE S AA204 MCN NASHVILLE, TN 37232
Location Phone
(615) 496-6860
Mailing Address
6228 HILLSBORO PIKE NASHVILLE, TN 37215
Mailing Phone
(615) 496-6860
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2012
Last Update Date
12-14-2012
Code Navigator

A nurse practitioner (NP) like Vanderbilt University Medical Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Critical Care Medicine

Taxonomy Code
363LC0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
17202
License State
TN

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KATHERINE JACKOWSKI

Authorized Official Title
ACUTE CARE NURSE PRACTITIONER
Authorized Official Phone
(615) 496-6860

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2197542
Facility Type
Physician Office
Certificate Effective Date
October 01, 2025
Certificate Expiration Date
September 30, 2027
Laboratory Director
DR. EMILY G. KURTZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Vanderbilt University Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427394634, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 6 + 9 + 8 + 6 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1427394634.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecologic Oncology)
1161 21ST AVE S, R-1217 MCN
NASHVILLE, TN 37232
Obstetrics & Gynecology
1161 21ST AVE S, DEPARTMENT OF OBGYN
NASHVILLE, TN 37232
Psychiatry & Neurology (Psychiatry)
1161 21ST AVE S, SS 4405 MCN
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
1161 21ST AVE S, A-1302 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S, MCN CC3322
NASHVILLE, TN 37232
Surgery
1161 21ST AVE S, D-4314 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S, MCN A2200
NASHVILLE, TN 37232
Clinical Neuropsychologist
1161 21ST AVE S, A-0118 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Radiology (Diagnostic Radiology)
1161 21ST AVE S, RM CCC-1106 MEDICAL CNTR N, DEPT OF RADIOLOGY
NASHVILLE, TN 37232
Radiology (Diagnostic Radiology)
1161 21ST AVE S, VANDERBILT MEDICAL CENTER, 3601 TVC
NASHVILLE, TN 37232
Radiology (Diagnostic Radiology)
1161 21ST AVE S, CCC-1121 MCN
NASHVILLE, TN 37232
Pathology (Anatomic Pathology & Clinical Pathology)
1161 21ST AVE S, C3321A MCN
NASHVILLE, TN 37232
Pathology (Anatomic Pathology & Clinical Pathology)
1161 21ST AVE S, DEPARTMENT OF PATHOLOGY, MICROBIOLOGY AND IMMUNOLOGY
NASHVILLE, TN 37232
Advanced Practice Midwife
1161 21ST AVE S, R-1217 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S, D-4314 MCN
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S
NASHVILLE, TN 37232
General Acute Care Hospital
1161 21ST AVE S, MCN AA1218
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
1161 21ST AVE S
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
1161 21ST AVE S, MCN AA1204
NASHVILLE, TN 37232
Student in an Organized Health Care Education/Training Program
1161 21ST AVE S, D3100 MEDICAL CENTER NORTH
NASHVILLE, TN 37232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427394634, enumerated as an "organization" on December 14, 2012.

The provider is located at 1161 21ST AVE S AA204 MCN NASHVILLE, TN 37232 and the phone number is (615) 496-6860.

Nurse Practitioner with taxonomy code 363LC0200X and a focus in Critical Care Medicine.