Active NPI
Gudetu B Gibe
- Non-emergency Medical Transport (VAN)
- Denver, CO
National Provider Identifier
1336636034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 093020492
- Practice address
- 5158 Sherman St
Denver, CO 80216-2075 - Phone
- (303) 332-4349
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 093020492 | CO | Primary |
Addresses
Primary practice location
5158 Sherman St
Denver, CO 80216-2075
Mailing address
5158 Sherman St
Denver, CO 80216-2075
Phone (303) 332-4349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093020492 | Other | CO | NON-MEDICAL TRANSPORTATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093020492 | CO | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1336636034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5158 SHERMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802162075",
"telephone_number": "303-332-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5158 SHERMAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802162075",
"telephone_number": "303-332-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBE",
"first_name": "GUDETU",
"middle_name": "B",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CO",
"license": "093020492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-MEDICAL TRANSPORTATION",
"identifier": "093020492",
"state": "CO"
}
],
"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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.