ANNE KONERU NPI 1992940365

NPI Information

NPI: 1992940365
Provider Name: ANNE KONERU
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
417 LIBERTY ST STE 2
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 301-9355
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Anne Koneru is a psychiatric/mental health nurse practitioner in Springfield, MA with 17 years of experience. Anne Koneru NPI is 1992940365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

417 LIBERTY ST STE 2
SPRINGFIELD, MA
ZIP 01104-766
Phone: (413) 301-9355

The NPI 1992940365 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 enumeration date for this NPI number is 12/12/2008 and was last updated on 10/25/2023.

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
1	363LF0000X	Nurse Practitioner	Family	RN2259886	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	003957	CONNECTICUT	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3957	CONNECTICUT	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2259886	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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