Shree Anitha Prasanna PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SHREE ANITHA PRASANNA PA

Practice address

2955 Pineda Plaza Way
Melbourne, FL 32940-7318

Phone

(321) 267-3304

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Shree Prasana

Title

Owner

Phone

(321) 267-3304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shree Anitha Prasanna PA

  • Customized Equipment (DME)
  • Titusville, FL
  • NPI 1194199364

  1153688981

  Same PAC ID

Tax ID family

Shree Anitha Prasanna PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shree Anitha Prasanna PA

  • Customized Equipment (DME)
  • Titusville, FL
  • NPI 1194199364
  NPD tax ID
• Shree Anitha Prasanna PA

  • Customized Equipment (DME)
  • Titusville, FL
  • NPI 1386177806
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anitha Prasanna, DMD

  • Dentist
  • Titusville, FL
  • NPI 1023141462
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1164083564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 PINEDA PLAZA WAY STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407306",
            "telephone_number": "321-267-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PINEDA PLAZA WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407318",
            "telephone_number": "321-267-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE ANITHA PRASANNA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "PRASANA",
        "authorized_official_first_name": "SHREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-267-3304"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Shoestock
• Mariah Short
• Timothy C Short, PH.D.
• Rhonda Shoup
• Sandra K Shrader, M.D.
• Christopher S Shumake, M.D.
• Michael Shunnarah
• Sam M Shvarts, BA
• Sibelius PLLC
• Narcisa A Sibert

• Customized Equipment (DME) in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.