Individual provider Active NPI

Meenakshi Ranjith Kotcherlakota, FNP-C

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1790641868
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16294 Issued in CT
Practice address
216 Hemlock Ave Ste 103
South Windsor, CT 06074-9607
Phone
(860) 471-8030
Fax
(860) 244-9143
NPI assigned
Jan 1, 2026
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16294 CT Primary
Registered Nurse 163W00000X 228575 CT

Addresses

Primary practice location

216 Hemlock Ave Ste 103
South Windsor, CT 06074-9607

Mailing address

216 Hemlock Ave Ste 103
South Windsor, CT 06074-9607
Phone (860) 471-8030

Other practice location 1

901 Farmington Ave Ste 100
West Hartford, CT 06119-1418
Phone (860) 471-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260226001319 CT Practitioner - Nurse Practitioner 8628559796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 W St
Bolton, CT 06043-7732

216 Hemlock Ave
Suite 103
South Windsor, CT 06074-9606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
228575CTMDRegistered Nurse
16294CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mouli Associates LLC CurrentSince Feb 16, 2026 Accepting new patients

Locations

216 Hemlock Ave
Ste 103
South Windsor, CT 06074
Phone (860) 471-8030

901 Farmington Ave
Ste 100
West Hartford, CT 06119
Phone (860) 410-6557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGHCD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1790641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HEMLOCK AVE STE 103",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060749607",
            "telephone_number": "860-471-8030",
            "fax_number": "860-244-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HEMLOCK AVE STE 103",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060749607",
            "telephone_number": "860-471-8030",
            "fax_number": "860-244-9143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Farmington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191418",
            "country_code": "US",
            "telephone_number": "860-471-8030",
            "fax_number": "860-244-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTCHERLAKOTA",
        "first_name": "MEENAKSHI",
        "middle_name": "RANJITH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "16294",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "228575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.