Sitamahalakshmi Nutakki, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

14229 Issued in AZ

Practice address

1025 W 24TH St
25
Yuma, AZ 85364-8366

Phone

(928) 344-3411

Fax

(924) 344-4194

NPI assigned

Nov 14, 2006

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

Other identifiers 1

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.

• Advance Pediatrics

  • Primary Care Clinic/Center
  • Yuma, AZ
  • NPI 1174877708
  NPD (past)
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952473399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST",
            "address_2": "25",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648366",
            "telephone_number": "928-344-3411",
            "fax_number": "924-344-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 24TH ST",
            "address_2": "25",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648366",
            "telephone_number": "928-344-3411",
            "fax_number": "924-344-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTAKKI",
        "first_name": "SITAMAHALAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "14229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230863",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew R Nunes, PHARM D
• Julissa Nunez
• Maria Guadalupe Nunez, CNP
• Sara Nunez, SLPA
• Lindsy Nungaray, FNP
• Nutrition for Living, LLC
• Mitherand Nya Seuwa, FNP
• Sarah O'Brien, R.N.
• Joanna C O'Campo, PA-C
• Charity Lynn O'Leary-Taylor, MSN, APRN, FNP-C

• Pediatric Adolescent Medicine Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Pediatric Adolescent Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.