Amelia Sita Ravishankara

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

580 Mohawk Drive
Baseline Medical Office
Boulder, CO 80302

Phone

(303) 614-1400

NPI assigned

Nov 5, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1154658664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 W 55TH AVE",
            "address_2": "APT 202",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023704",
            "telephone_number": "720-352-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MOHAWK DRIVE",
            "address_2": "BASELINE MEDICAL OFFICE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-614-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVISHANKARA",
        "first_name": "AMELIA",
        "middle_name": "SITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gail Raskin, D.C.
• Blaise Rastello, LCSW
• Kirk R Rathburn, D.D.S.
• Richard Glenn Ratliff, PH.D.
• Kimberly Ann Raupp, PT,CHT
• James Scott Ray, D.C.
• Jane A. Ray, D.C.
• Joseph Patrick Raycroft, M.D.
• Eugene Raykin
• Marisa Raymond, MS MPH CGC

• Specialist in Boulder, CO
• Providers in Boulder, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.