Active NPI
Sreelekha Sashidhar, M.D.
- Pediatrics Physician
- Fayetteville, NC
National Provider Identifier
1477568996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9601058
- Practice address
- 2109 Valleygate Dr Ste 101
Fayetteville, NC 28304-3571 - Phone
- (910) 677-0007
- Fax
- (910) 677-0038
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9601058 | NC | Primary |
Addresses
Primary practice location
2109 Valleygate Dr Ste 101
Fayetteville, NC 28304-3571
Mailing address
2109 Valleygate Dr Ste 101
Fayetteville, NC 28304-3571
Phone (910) 677-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891018Y | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601058 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatrics of Raeford, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Raeford, NC
- NPI 1235439613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477568996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 VALLEYGATE DR STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043571",
"telephone_number": "910-677-0007",
"fax_number": "910-677-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 VALLEYGATE DR STE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043571",
"telephone_number": "910-677-0007",
"fax_number": "910-677-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASHIDHAR",
"first_name": "SREELEKHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9601058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891018Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.