Chanika Madhushani Alwis Thelikada Palliya Guruge, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R102438 Issued in AR

Practice address

9219 Sibley Hole Rd
Building B
Little Rock, AR 72209-8874

Phone

(501) 455-6166

NPI assigned

Nov 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1871035030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 SIBLEY HOLE RD",
            "address_2": "BUILDING B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722098874",
            "telephone_number": "501-455-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 SIBLEY HOLE RD",
            "address_2": "BUILDING B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722098874",
            "telephone_number": "501-455-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELIKADA PALLIYA GURUGE",
        "first_name": "CHANIKA",
        "middle_name": "MADHUSHANI ALWIS",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R102438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Woman's Clinic, P.a.
• The Woman's Clinic, PA
• Vaishnavi Theegala, MD
• Nancy Theis, PT
• Benjamin Waters Theisen, DO
• Marina Eleni Theoharis
• Thepharmacy LLC
• Thepharmacy LLC (The Pharmacy at Wellington)
• Thepharmacy LLC (ThePharmacy at Wellington)
• Therapeutic Solutions

• Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.