Anni T Thadavila, R.N., B.S.N.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

451559-1 Issued in NY

Practice address

699 92ND St
Brooklyn, NY 11228-3619

Phone

(718) 567-1234

NPI assigned

Mar 25, 2007

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245357078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044464",
            "telephone_number": "718-720-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 92ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283619",
            "telephone_number": "718-567-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADAVILA",
        "first_name": "ANNI",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "451559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Thabateh, CCC- SLP, TSSLD
• Dima Thabit, OTR/L
• Hanaa Benyameen Thabit
• Tina Thach, PHD
• Ligy Thadathil, RPH
• Sabu Thadipuzha Thomas, LMSW
• Thafarie Enterprises
• Tuan Azmal Thahireen
• Hoang Buu Thai-Ho, RPH
• Khanh Hue Thai, NP

• Medical-Surgical Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical-Surgical Registered Nurse in New York

• 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.