Punam Bhakta, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP11645 Issued in AZ

Practice address

350 W Thomas Rd
Phoenix, AZ 85013-4409

Phone

(602) 406-8143

Fax

(602) 200-1464

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Aury Health, Inc

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1366135980
  NPD Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1679945232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E INDIAN SCHOOL RD APT 4033",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166087",
            "telephone_number": "858-784-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-8143",
            "fax_number": "602-200-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Washington St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032231",
            "country_code": "US",
            "telephone_number": "619-278-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "PUNAM",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pracheta Bhagat, MD
• Anand S Bhakta, DC
• Dharmendra N. Bhakta, P.A.C.
• Dharti Bhakta, PHARMD
• Dharti J Bhakta, D.D.S.
• Samit Bhakta, M.D.
• Tina B Bhakta, PHARM.D.
• Ritu Vinayak Bhalerao
• Nalini Sridhar Bhalla, M.D.
• Sarabjit S Bhalla, M.D.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.