Angeli Sivaraman, RPH, PHARMD, BCACP

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

RPH-0015497 Issued in OR

Practice address

419 Steam Plant Rd
Gallatin, TN 37066

Phone

(443) 812-9355

NPI assigned

Oct 19, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1255882882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 MCGAVOCK PIKE UNIT B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162814",
            "telephone_number": "443-812-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 STEAM PLANT RD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "443-812-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 NE Halsey St",
            "address_2": "4th floor, Building 2,",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97213",
            "country_code": "US",
            "telephone_number": "503-893-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVARAMAN",
        "first_name": "ANGELI",
        "credential": "RPH, PHARMD, BCACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP450228",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "OR",
            "license": "RPH-0015497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Simmons, PA-C
• Rebecca Simpson, PTA
• Karen Sims
• Lanzi Azure Sinaise, MD
• Stefanie Nicole Singh, FNP-BC
• Alissa Ann Slack, BSN, RN
• Mitzie Michelle Slayden, M.A., CCC-A
• Sleep Management, L.L.C. (VieMed)
• Jamie Lynn Sloan
• Shawn R Smallwood, LMSW

• Ambulatory Care Pharmacist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Ambulatory Care Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.