Individual provider Active NPI

Jayasudha Gude

  • Student in an Organized Health Care Education/Training Program
  • Reno, NV
National Provider Identifier
1164180782
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5190 Neil Rd
Reno, NV 89502-6599
Phone
(775) 982-7800
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

5190 Neil Rd
Reno, NV 89502-6599

Mailing address

5190 Neil Rd
Reno, NV 89502-6599
Phone (775) 982-7800

Other practice location 1

2655 Enterprise Rd
Reno, NV 89512-1666
Phone (775) 668-1600 ext. 00004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227003109 NV Order and Referring Only - PsychiatryPractitioner - Psychiatry 0941737167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgude209686@direct.renown.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1164180782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026599",
            "telephone_number": "775-982-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026599",
            "telephone_number": "775-982-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2655 Enterprise Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895121666",
            "country_code": "US",
            "telephone_number": "775-668-1600 x00004",
            "fax_number": "775-668-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDE",
        "first_name": "JAYASUDHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "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 Reno, NV

Sources for this page

Verify at the official NPI Registry.