Anitha Saravanan, RN, ANP-BC, PCCN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209010397 Issued in IL

Practice address

580 Waters Edge Ste 100
Lombard, IL 60148-6431

Phone

(630) 495-8484

NPI assigned

Oct 31, 2013

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

Other names 1

• Anitha Alagusundaram Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1346678257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486431",
            "telephone_number": "630-495-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 WATERS EDGE STE 100",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486431",
            "telephone_number": "630-495-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAVANAN",
        "first_name": "ANITHA",
        "credential": "RN, ANP-BC, PCCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITHA",
            "last_name": "ALAGUSUNDARAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Cudia Santos
• John Casey Santos
• Sara Powers, LCSW, PLLC
• Sarah L. McMahon, LCSW, LLC
• Richard C Sarallo
• Rodolfo Ayson Sarmiento, M.D.
• Kathryn Elizabeth Sas, APN-CNP
• Ashley Savegnago
• Kennedy Sawyer
• Jennifer Scarpace, BA

• Adult Health Nurse Practitioner in Lombard, IL
• Providers in Lombard, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.