DR. VASUNDHARA-DEVI VEMULA (NPI# 1972599405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972599405 |
| Entity Type | Individual |
| Full Name | DR. VASUNDHARA-DEVI VEMULA |
| Other Name | DR. VASU VEMULA |
| Credential | M.D. |
| Practice Address |
270 Walton Way Hopkinsville KY 42240-6808 |
| Mailing Address |
4044 Fort Campbell Blvd P.m.b. 313 Hopkinsville KY 42240-4950 |
| Practice Telephone | 2708876566 |
| Practice Fax Number | 2708861335 |
| Mailing Telephone | 2708396420 |
| Mailing Fax Number | 2709069800 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
37984 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
37984 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
37984 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
37984 | KY | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
37984 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY LICENSE # | 37984 | 01 |
| NY | NEW YORK LICENSE # | 177740 | 01 |
| KY | 64067812 | 05 | |
| DEA REGISTRATION # | BV1841229 | 01 |
| Street Address |
270 WALTON WAY |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023462447 | Victor Manuel Arballo | Psychiatry & Neurology | 270 Walton Way, Hopkinsville, KY 42240-6808 | 2016-04-21 |
| 1720353501 | Abs Lincs Ky, LLC | Nurse Practitioner | 270 Walton Way, Hopkinsville, KY 42240 | 2012-03-13 |
| 1750392502 | Abs Lincs Ky, LLC | Psychiatric Unit | 270 Walton Way, Hopkinsville, KY 42240-1912 | 2006-08-10 |
| 1316918030 | Denise M Lyons | Registered Nurse | 270 Walton Way, Hopkinsville, KY 42240-6808 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306371067 | Mohammed R Movahid | Psychiatry & Neurology | Graduate Medical Education 800 Rose Street Room Hq-101, Lexington, KY 40536-0293 | 2017-05-01 |
| 1336534437 | Nicole I Goodin | Psychiatry & Neurology | 649 Chamberlin Ave, Frankfort, KY 40601-4288 | 2015-04-06 |
| 1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
| 1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
| 1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
| 1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
| 1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
| 1245255504 | Michael Reid Mayo | Psychiatry & Neurology | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.