Kinnera Thikkavarapu Reddy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

877 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94596-3897

Phone

(510) 648-7827

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1134747421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7688 BALMORAL WAY",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825383",
            "telephone_number": "510-648-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963897",
            "telephone_number": "510-648-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KINNERA",
        "middle_name": "THIKKAVARAPU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreddy@mail.firststepsforkids.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "877 Ygnacio Valley Rd Ste 100",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945963897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqueline J Reams, FMHPNP
• Ralph Douglas Reamy, PHARM.D.
• Michelle Marie Reardon, LMFT
• Emilyann Recania
• Daniel Reddington, PT
• Kuruganti P. Reddy, MD
• Sapna S. Reddy, MD
• Breanna Reed, AUD, CCC-A
• Davonna Reed
• Maddison Reed

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.