Individual provider Active NPI

Amelmal Shibru Teklegorigs, 050590252

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1356708754
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
14821 E Kansas PL
Aurora, CO 80012
Phone
(720) 327-3255
Fax
(303) 360-7707
NPI assigned
Jan 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X CO Primary

Addresses

Primary practice location

14821 E Kansas PL
Aurora, CO 80012

Mailing address

1503 Trenton St Denver Co 80220
Denver, CO 80220
Phone (720) 327-3255

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1356708754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 TRENTON ST DENVER CO 80220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "720-327-3255",
            "fax_number": "303-360-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 E KANSAS PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "720-327-3255",
            "fax_number": "303-360-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLEGORIGS",
        "first_name": "AMELMAL",
        "middle_name": "SHIBRU",
        "name_prefix": "Ms.",
        "credential": "050590252",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.