Active NPI
Durganjali Tummala, M.B.B.S
- Student in an Organized Health Care Education/Training Program
- Elma, WA
National Provider Identifier
1134973258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Summit Pacific Medical Center 600 E. Main Street
Elma, WA 98561 - Phone
- (360) 346-2239
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Summit Pacific Medical Center 600 E. Main Street
Elma, WA 98561
Mailing address
Summit Pacific Medical Center 600 E. Main Street
Elma, WA 98561
Phone (360) 346-2239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1134973258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUMMIT PACIFIC MEDICAL CENTER 600 E. MAIN STREET",
"city": "ELMA",
"state": "WA",
"postal_code": "98561",
"telephone_number": "360-346-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUMMIT PACIFIC MEDICAL CENTER 600 E. MAIN STREET",
"city": "ELMA",
"state": "WA",
"postal_code": "98561",
"telephone_number": "360-346-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMMALA",
"first_name": "DURGANJALI",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.