# VANDERBILT UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vanderbilt Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528142429
- **Authorized official:** KAE EDINGTON (DIRECTOR, PROVIDER SUPPORT SERVICES)
- **Authorized official phone:** (615) 936-0471

## Contact information

- **Practice address:** 3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
- **Practice address phone:** (615) 322-3000
- **Mailing address:** 4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-8678
- **Mailing address phone:** (615) 322-3573
- **Mailing address fax:** (615) 936-6095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1005X | Renal Nutrition Registered Dietitian | — | — | Yes |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 09/11/2025