Individual provider Active NPI

Srivani Kanumuri, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Everett, WA
National Provider Identifier
1336481183
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
60607481 Issued in WA
Practice address
13020 Meridian Ave S Ste 205
Everett, WA 98208-6468
Phone
(425) 316-5155
Fax
(425) 316-5156
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 60607481 WA Primary

Addresses

Primary practice location

13020 Meridian Ave S Ste 205
Everett, WA 98208-6468

Mailing address

13020 Meridian Ave S Ste 205
Everett, WA 98208-6468
Phone (425) 316-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160906002125 WA Practitioner - Preventive Medicine 3870889553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60607481WAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 30, 2022 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 30, 2022 Accepting new patients

Locations

13020 Meridian Ave S
Ste 205
Everett, WA 98208
Phone (425) 316-5155

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: skanumuri2051365@wm.providencedirect.org

Organizations & group practices 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1336481183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S STE 205",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "425-316-5155",
            "fax_number": "425-316-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S STE 205",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "425-316-5155",
            "fax_number": "425-316-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUMURI",
        "first_name": "SRIVANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WA",
            "license": "60607481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.