Ramadevi Chittajallu Pryne

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC000763 Issued in TX

Practice address

2312 Western Trails Medical Center
Suite 401
Austin, TX 78745

Phone

(512) 293-5388

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Acupuncture & Rehab Clinic of Austin PLLC

  • Rehabilitation Clinic/Center
  • Austin, TX
  • NPI 1629245394
  Medicare reassignment NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1164530192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WESTERN TRAILS BLVD STE D401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 WESTERN TRAILS MEDICAL CENTER",
            "address_2": "SUITE 401",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-293-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYNE",
        "first_name": "RAMADEVI",
        "middle_name": "CHITTAJALLU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC000763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Pruitt, LPC-A
• John Pruitt
• Lisa Roschelle Pruitt, RN
• Sandra Pruneda, LCSW-S
• Jamie Ray Prunty, LPC
• Laconga Venessa Pryor, REGISTERED NURSE
• Mikayla Ann Gore Pryor, RN
• Psa Ambulatory Surgical Center of Austin LLC
• Psa Ambulatory Surgical Center of South Austin, LLC
• Psa Anesthesia PLLC

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.