Suneetha S Nuthalapaty, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MD40108 Issued in TN

Practice address

6290 Manchester Hwy
Morrison, TN 37357-7589

Phone

(931) 815-1616

Fax

(931) 815-1717

NPI assigned

Jul 8, 2006

Last updated

Aug 13, 2015By the provider in NPPES

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 identifiers 3

Other names 1

• Suneetha S Konala Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1508899246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 MANCHESTER HWY",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373577589",
            "telephone_number": "931-815-1616",
            "fax_number": "931-815-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 MANCHESTER HWY",
            "city": "MORRISON",
            "state": "TN",
            "postal_code": "373577589",
            "telephone_number": "931-815-1616",
            "fax_number": "931-815-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTHALAPATY",
        "first_name": "SUNEETHA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TN",
            "license": "MD40108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "114935",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4109701",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3334559",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNEETHA",
            "last_name": "KONALA",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Mullins, RN
• Olivia Anne Myers
• Brandy Nichole Nokes, FNP
• Angela Northcutt
• Randy Nunley, RN
• Jamie Oliver
• Pathways Health Management Inc
• Peggy D Payne, RN
• Everette Perry
• Pettit House

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Morrison, TN
• Providers in Morrison, TN by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.