Individual provider Active NPI

Snehalatha Kankanala, MD

  • Physical Medicine & Rehabilitation Physician
  • Hobbs, NM
National Provider Identifier
1013093707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
8361 Issued in NM
Practice address
5419 N Lovington Hwy
Suite 4
Hobbs, NM 88240
Phone
(505) 392-7537
Fax
(505) 392-2874
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 8361 NM Primary

Addresses

Primary practice location

5419 N Lovington Hwy
Suite 4
Hobbs, NM 88240

Mailing address

5419 N Lovington Hwy
Suite 4
Hobbs, NM 88240
Phone (505) 392-7537

Other identifiers 1

IdentifierTypeStateIssuer
00020412MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8361NMMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8262/brand/2/csg/22/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013093707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "address_2": "SUITE 4",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "505-392-7537",
            "fax_number": "505-392-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "address_2": "SUITE 4",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "505-392-7537",
            "fax_number": "505-392-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKANALA",
        "first_name": "SNEHALATHA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "8361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00020412",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.