Rajeswari S Sonni, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME33065 Issued in FL

Practice address

1354 State Road 60 E
Lake Wales, FL 33853-4322

Phone

(863) 382-0566

Fax

(863) 471-9340

NPI assigned

May 26, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Avon Park Pediatrics, Inc.

  • Pediatrics Physician
  • Avon Park, FL
  • NPI 1811135502
  NPD (past)
• Heartland Pediatrics of Lake Wales, LLC

  • Pediatrics Physician
  • Lake Wales, FL
  • NPI 1104989680
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1881640464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-382-0566",
            "fax_number": "863-471-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-382-0566",
            "fax_number": "863-471-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNI",
        "first_name": "RAJESWARI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME33065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "28112",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066920200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Smiley
• Kimberly Paige Smith, COTA
• Norshawndra Marie Smith, PHARMD
• Patricia Ann Smith
• Maria Claudia Solorzano, M.D.
• Georgianna Walker Sorensen, ARNP LMHC PHD
• Specialty Orthopedic Associates PL
• Speech Savvy Therapy Services, LLC
• Shelly Kay Spencer, M.A. CCC-SLP
• Claudia Spiker

• Pediatrics Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.