Individual provider Active NPI

Sreelekha Lalappan Padmavathy, NURSE PRACTIONER

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1417527102
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017644 Issued in CA
Practice address
420 34TH St
Bakersfield, CA 93301-2237
Phone
(661) 578-5085
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017644 CA Primary

Addresses

Primary practice location

420 34TH St
Bakersfield, CA 93301-2237

Mailing address

9016 Carnegie Hall LN
Bakersfield, CA 93311-9551
Phone (661) 742-2192

Other practice location 1

9016 Carnegie Hall Ln
Bakersfield, CA 93311-9551
Phone (661) 742-2192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003590 CA Practitioner - Nurse Practitioner 2062815160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017644CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Pulmonary & Sleep Medicine Center, Inc CurrentSince Aug 9, 2021 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Alan F Dakak MD Inc Past Accepting new patients

Locations

8305 Brimhall Rd
Ste 1601
Bakersfield, CA 93312
Phone (661) 695-6777

8333 Brimhall Rd
Bldg 1000
Bakersfield, CA 93312
Phone (661) 599-2934

1205 Garces Hwy
Ste 203
Delano, CA 93215
Phone (661) 599-2934

Interoperability endpoints

  • Direct secure messaging: sreelekha.padmavathy@3336.securemail.prognocis.com
  • Direct secure messaging: sreelekha.padmavathy@2871.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1417527102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 CARNEGIE HALL LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119551",
            "telephone_number": "661-742-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012237",
            "telephone_number": "661-578-5085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9016 Carnegie Hall Ln",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119551",
            "country_code": "US",
            "telephone_number": "661-742-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALAPPAN PADMAVATHY",
        "first_name": "SREELEKHA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.