Naveen Konidala

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN175821 Issued in AZ

Practice address

6488 N Oracle Rd
Tucson, AZ 85704-5620

Phone

(520) 407-2127

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1801484738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 N JEFFERSON AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122212",
            "telephone_number": "650-999-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045620",
            "telephone_number": "520-407-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIDALA",
        "first_name": "NAVEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN175821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "CVS Health is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain Aetna, a health insurance provider. The company's headquarter is in Woonsocket, Rhode Island.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6488 N Oracle Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857045620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Komako House
• Christopher Bernard Komanapalli, M.D.
• Sitara Kommareddi, MD
• Akira Kondo, A.T.C
• Bradley Konecnik, DMD
• Elise Fassler Konigsberg, WHCNP
• Julie Konigsberg, LCSW
• Bonjung Jane Koo, D.D.S.
• Elizabeth Koo, D.D.S.
• Gwen Marie Kooi, OTR

• Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.