Anitha Kumari Allala-Ettireddy

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

185505 Issued in TX

Practice address

4660 Beechnut St
Suite 218
Houston, TX 77096-1824

Phone

(713) 521-0006

NPI assigned

Nov 20, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1225305121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961824",
            "telephone_number": "713-521-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961824",
            "telephone_number": "713-521-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLALA-ETTIREDDY",
        "first_name": "ANITHA",
        "middle_name": "KUMARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-20",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "185505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrislyn Allahar
• Jeffrey Allahar, CRT/RCP
• Karim Allahdina, D.D.S.
• Mahmoud Allahham, M.D.
• Michelle Denise Allain
• Belu Allam, MD
• Farida Hamdi Allam, PHARM.D.
• Koushikreddy Allam
• Mervat Medhat Allam, MD
• Allan Hamburg D.D.S., P.C.

• Adult Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.