Tanya Kunnappilly, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16191 Issued in AZ

Practice address

4041 N Central Ave BLDG C
Phoenix, AZ 85012-3313

Phone

(602) 279-5262

Fax

(602) 263-0460

NPI assigned

Sep 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Kunnappilly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: theresa.kunnappily.p1@direct.nachci.nextgenshare.com

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1831648369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 E VISTA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224140",
            "telephone_number": "602-279-5262",
            "fax_number": "602-263-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N CENTRAL AVE BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123313",
            "telephone_number": "602-279-5262",
            "fax_number": "602-263-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNNAPPILLY",
        "first_name": "TANYA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "16191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "KUNNAPPILLY",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Ann Kung
• Katherine Kung, PHARMD
• Leander Kung, LMT
• Sandra M Kuniyoshi, MD
• Rama M Kunkle, DO
• Samantha Kunselman, ND
• Jennifer Natasha Kunz, FNP
• Celeste C Kuo, MD
• Kimberly Ann Kuopus, NP-C
• Olga P Kurdelchuk, PHARM.D

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.