Active NPIIndividual provider

Anne Koneru

Nurse Practitioner, Psych/Mental Health in Springfield, Massachusetts

NPI Number1992940365
Practice location
417 Liberty St Ste 2, Springfield, MA 01104-3766
Fax
—
Last updated
April 30, 2025

Anne Koneru is a Nurse Practitioner, Psych/Mental Health based in Springfield, MA. Anne Koneru practices in Springfield, MA. The NPI Number for Anne Koneru is 1992940365 and holds a License No. 3957 (CT). The current practice location address for Anne Koneru is 417 Liberty St Ste 2, Springfield, MA 01104-3766 and can be reached out via phone at 413-301-9355.

Provider Profile Details

NPI Number
1992940365
Provider Name
Anne Koneru
Provider Entity Type
Individual
Gender
Female
Address
417 Liberty St Ste 2, Springfield, MA 01104-3766
Phone Number
413-301-9355
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2008
Last Update Date
April 30, 2025
Certification Date
April 30, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 Liberty St Ste 2
Springfield, MA 01104-3766
Zip
01104-3766
Phone Number
413-301-9355
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
701 Cottage Grove RD Ste B110
Bloomfield, CT 06002-4217
City
Bloomfield
State
CT
Zip
06002-4217
Phone Number
203-637-5882
Fax Number
855-524-3980

License Information

License Number (1)
3957
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
RN2259886
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (3)
RN2259886
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
003957
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anne Koneru?

The NPI number of Anne Koneru is 1992940365. It was assigned on December 12, 2008 and is currently active in the NPPES registry.

What is the specialty of Anne Koneru?

Anne Koneru is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 3957.

Where does Anne Koneru practice?

The practice location is 417 Liberty St Ste 2, Springfield, MA 01104-3766. The office can be reached at 413-301-9355 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992940365 directly on the NPPES registry website.

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