Active NPI
Jyothishree PC
- Specialist
- Memphis, TN
National Provider Identifier
1760725659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 48655
- Legal business name
- JYOTHISHREE PC
- Practice address
- 6005 Park Ave Ste 626B
Memphis, TN 38119-5221 - Phone
- (901) 767-4799
- NPI assigned
- Mar 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jyothishree Rao Pinnaka, M.D.
- Title
- President
- Phone
- (508) 450-6607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 48655 | TN | Primary |
Addresses
Primary practice location
6005 Park Ave Ste 626B
Memphis, TN 38119-5221
Mailing address
53 Danner CT Apt 101
Memphis, TN 38103-5992
Phone (508) 450-6607
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364515200000",
"number": "1760725659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 DANNER CT APT 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035992",
"telephone_number": "508-450-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVE STE 626B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195221",
"telephone_number": "901-767-4799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JYOTHISHREE PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A",
"authorized_official_last_name": "PINNAKA",
"authorized_official_first_name": "JYOTHISHREE",
"authorized_official_middle_name": "RAO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-450-6607",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "48655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.