PRAVEEN BODAKUNTA PMHNP NPI 1295243848

NPI Information

  • NPI: 1295243848
  • Provider Name: PRAVEEN BODAKUNTA, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 33480 13TH PL S
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 285-7101

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NPI Details

Praveen Bodakunta, PMHNP is a psychiatric/mental health nurse practitioner in Federal Way, WA. Praveen Bodakunta, PMHNP NPI is 1295243848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

33480 13TH PL S
FEDERAL WAY, WA
ZIP 98003-357
Phone: (253) 285-7101

The NPI 1295243848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 1/17/2018 and was last updated on 10/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health288853ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP60909328WASHINGTONYes
3363LP0808XNurse PractitionerPsychiatric/Mental Health862811NEVADANo
4163WP0808XRegistered NursePsychiatric/Mental HealthRN60641646WASHINGTONNo
5363LP0808XNurse PractitionerPsychiatric/Mental Health95023203CALIFORNIANo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthC-APN.0103995-C-NPCOLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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