NPIMap

Organization Active NPI

Shree Anitha Prasanna PA

  • Customized Equipment (DME)
  • Titusville, FL
National Provider Identifier
1386177806
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DN16818 Issued in FL
Legal business name
SHREE ANITHA PRASANNA PA
Practice address
1490 Cheney Hwy
Titusville, FL 32780-6250
Phone
(321) 267-3304
Fax
(321) 267-9191
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Shree A Prasanna
Title
Owner
Phone
(321) 267-3304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DN16818 FL Primary

Addresses

Primary practice location

1490 Cheney Hwy
Titusville, FL 32780-6250

Mailing address

1490 Cheney Hwy
Titusville, FL 32780-6250
Phone (321) 267-3304

National Provider Directory

National Provider Directory
Tax ID family
Shree Anitha Prasanna PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1490 Cheney Hwy
Titusville, FL 32780
Phone (321) 267-3304

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1386177806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806250",
            "telephone_number": "321-267-3304",
            "fax_number": "321-267-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806250",
            "telephone_number": "321-267-3304",
            "fax_number": "321-267-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE ANITHA PRASANNA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "PRASANNA",
        "authorized_official_first_name": "SHREE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-267-3304"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN16818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.