Rajitha Bommakanti, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN208614 Issued in GA

Practice address

13225 Caris CT
Alpharetta, GA 30009-3249

Phone

(919) 656-1029

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy You Lifestyle Center

  • Case Management Agency
  • Alpharetta, GA
  • NPI 1619446440
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542844800000",
    "number": "1003399809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 CARIS CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093249",
            "telephone_number": "919-656-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 CARIS CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093249",
            "telephone_number": "919-656-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "RAJITHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "GA",
            "license": "RN208614",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN208614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN208614",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Bohan, LCSW
• Christian Hainey Bohnstedt, FNP
• Courtney Bohrer, M.ED., CCC-SLP
• Corinne E Bohrq, DC
• Staci S Bolton, PSY.D.
• Damon L Bond, DMD
• Claudio Sergio Bondulich, M.D.
• Bone & Joint Treatment CTRS of South Florida, LP
• Bradley Bongiovanni, N.D.
• Marjorie Bonheur, LMSW

• Registered Nurse in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.