Active NPI
Reena Kuruvilla
- Technician/Technologist
- Seffner, FL
National Provider Identifier
1740064971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- TN42430
- Practice address
- 402 Apache LN
Seffner, FL 33584-4746 - Phone
- (813) 728-1686
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | TN42430 | FL | Primary |
Addresses
Primary practice location
402 Apache LN
Seffner, FL 33584-4746
Mailing address
402 Apache LN
Seffner, FL 33584-4746
Phone (813) 728-1686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN42430 | FL | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1740064971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 APACHE LN",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335844746",
"telephone_number": "813-728-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 APACHE LN",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335844746",
"telephone_number": "813-728-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUVILLA",
"first_name": "REENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "FL",
"license": "TN42430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seffner, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.