TULASI KANUKUNTLA (NPI# 1306078118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306078118 |
| Entity Type | Individual |
| Full Name | TULASI KANUKUNTLA |
| Credential | M.D. |
| Practice Address |
1720 Highway 59 S Thief River Falls MN 56701-4331 |
| Practice Telephone | 2186832676 |
| Mailing Telephone | 2186832676 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
55932 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 94-07296 | KS | Student, Health Care |
| Street Address |
1720 HIGHWAY 59 S |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915420 | Paul Adams | Psychologist | 1720 Highway 59 S, Northwest Medical Center Mental Health Division, Thief River Falls, MN 56701-4331 | 2006-05-04 |
| 1386047355 | Sanford Health Network North | Clinical Neuropsychologist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2014-10-03 |
| 1437406907 | Patrick Jahn | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2012-08-14 |
| 1912261058 | Sanford Health Network North | Family Medicine | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2012-07-03 |
| 1992081020 | Sanford Health Network North | Eyewear Supplier (Equipment, not the service) | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2011-11-03 |
| 1043524465 | Elizabeth L Jahn | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2010-07-27 |
| 1902122104 | Ann Johnson | Psychologist | 1720 Highway 59 S, Sanford Thief River Falls, Thief River Falls, MN 56701-4331 | 2010-04-13 |
| 1164603460 | Desiree M Bertilrud | Nurse Practitioner | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-11-15 |
| 1962607143 | Sara L Rosendahl | Physician Assistant | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-06-18 |
| 1770635682 | Chandra S Gottipati | Family Medicine | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915511 | Mark Tsibulsky | Psychiatry & Neurology | 120 Labree Ave S, Thief River Falls, MN 56701 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277677 | Emily Tonkin, LLC | Psychiatry & Neurology | 825 Nicollet Mall Ste 1246, Minneapolis, MN 55402-2702 | 2020-08-28 |
| 1083243182 | Blake Novy | Psychiatry & Neurology | 200 1st St Sw Dept Of, Rochester, MN 55905-0001 | 2020-04-02 |
| 1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1912537721 | Psy-fi Tms | Psychiatry & Neurology | 6504 Creek Dr, Edina, MN 55439-1208 | 2020-01-21 |
| 1821637869 | Psychopharmacology Consultant LLC | Psychiatry & Neurology | 1082 Highway 3 S, Northfield, MN 55057-3088 | 2019-12-21 |
| 1770120933 | Dr. Lisa Etherapy | Psychiatry & Neurology | 3539 Douglas Dr N, Minneapolis, MN 55422-2415 | 2019-12-06 |
| 1225673411 | Osetohamen Elizabeth Agene | Psychiatry & Neurology | 5701 Shingle Creek Pkwy Ste 115, Minneapolis, MN 55430-2485 | 2019-11-12 |
| 1700319456 | Kristin Nguyen | Psychiatry & Neurology | 1301 W Center St, Rochester, MN 55902-0333 | 2017-04-10 |
| 1295198539 | Daniel Janiczak | Psychiatry & Neurology | 701 Park Ave. B5 118, Hencepin County Medical Center Department of Psychiatry, Minneapolis, MN 55415 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
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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.