Sirisha R Sukrutham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17145 Issued in OR

Practice address

2300 Warren St
Eugene, OR 97405-1116

Phone

(541) 686-2828

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1639834096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WARREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051116",
            "telephone_number": "541-686-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKRUTHAM",
        "first_name": "SIRISHA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sughroue, MAC
• Blake Andrew Suhling, PA-C
• Caroline Suiter
• James G Suiter, PA
• Jasmine Kay Suiter
• Olugbenga Omotayo Sulaiman, M.D.
• Nancy Sue Sulliger, PMHNP
• Amalia Sullivan, LCSW
• Eric M Sullivan, MD
• Kathy J. Sullivan, L.C.S.W.

• Speech-Language Pathologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.