Active NPI
Reid Gudger
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
National Provider Identifier
1477499077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TL0011311
- Practice address
- 1890 N Revere CT # F546
Aurora, CO 80045-7464 - Phone
- (303) 724-6019
- NPI assigned
- Apr 27, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL0011311 | CO | Primary |
Addresses
Primary practice location
1890 N Revere CT # F546
Aurora, CO 80045-7464
Mailing address
1890 N Revere CT # F546
Aurora, CO 80045-7464
Phone (303) 724-6019
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 |
|---|---|---|---|
| TL0011311 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1477499077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 N REVERE CT # F546",
"city": "AURORA",
"state": "CO",
"postal_code": "800457464",
"telephone_number": "303-724-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 N REVERE CT # F546",
"city": "AURORA",
"state": "CO",
"postal_code": "800457464",
"telephone_number": "303-724-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDGER",
"first_name": "REID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL0011311",
"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 Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.