Individual provider Active NPI

Srujana Gummalla

  • Counselor
  • Denver, CO
National Provider Identifier
1285476523
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1777 S Bellaire St Ste 390
Denver, CO 80222-4350
Phone
(720) 515-4244
NPI assigned
Jun 8, 2024
Last updated
Jun 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1777 S Bellaire St Ste 390
Denver, CO 80222-4350

Mailing address

1777 S Bellaire St Ste 390
Denver, CO 80222-4350

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": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1285476523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 390",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 390",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224350",
            "telephone_number": "720-515-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMALLA",
        "first_name": "SRUJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.