ANUSHA MANNAVA (NPI# 1972920049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972920049 |
| Entity Type | Individual |
| Full Name | ANUSHA MANNAVA |
| Credential | MD |
| Practice Address |
1100 Goethals Dr Ste D Richland WA 99352 |
| Mailing Address |
550 Gage Blvd Ste 101 Richland WA 99352-9532 |
| Practice Telephone | 5099423080 |
| Practice Fax Number | 5099423085 |
| Mailing Telephone | 5099423080 |
| Mailing Fax Number | 5099423085 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60830547 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1972920049 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4225 Roosevelt Way Ne Ste 306, Seattle, WA 981056099 | 2065986950 |
| Street Address |
1100 GOETHALS DR STE D |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659686509 | Anitha Raghunath | Psychiatry & Neurology | 1100 Goethals Drive First Floor, Kadlec Neuroscience Center, Richland, WA 99352 | 2010-08-16 |
| 1881884385 | Fei Pan | Psychiatry & Neurology | 1100 Goethals Drive, Kadlec Neuroscience Center, Richland, WA 99352-3304 | 2007-07-31 |
| 1740497908 | Maamoon Tammaa | Psychiatry & Neurology | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2007-05-17 |
| 1689625014 | Hui-juan Zhang | Psychiatry & Neurology | 1100 Goethals Drive, 1st Floor, Richland, WA 99352-3304 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| 1962740274 | Legacy Neuromonitoring, LLC | Psychiatry & Neurology | 1818 W Francis Ave, Pmb #299, Spokane, WA 99205-6834 | 2013-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.