Individual provider Active NPI

Padma Akumalla

  • Registered Nurse First Assistant
  • St.Louis, MO
National Provider Identifier
1780049684
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
2003015640 Issued in MO
Practice address
1 Barnes Jewish Hospital
South Kings Highway
Stlouis, MO 63110
Phone
(314) 362-4000
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 2003015640 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital
South Kings Highway
Stlouis, MO 63110

Mailing address

1719 Faith CT
Fenton, MO 63026-6601
Phone (314) 629-7552

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

LicenseStateTypeSpecialty
2003015640MOMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1780049684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 FAITH CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630266601",
            "telephone_number": "314-629-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL",
            "address_2": "SOUTH KINGS HIGHWAY",
            "city": "STLOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-362-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUMALLA",
        "first_name": "PADMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "2003015640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St.Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.