Pravina Srinivas, PHD, MLS

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

614 Melrose CT
Southlake, TX 76092-7120

Phone

(817) 680-8061

NPI assigned

Jan 25, 2022

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1871245399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MELROSE CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927120",
            "telephone_number": "817-680-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MELROSE CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927120",
            "telephone_number": "817-680-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "PRAVINA",
        "credential": "PHD, MLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppe Sposito, DPT
• Trisha J Sprekelmeyer
• Kathryn Jo Sprengel, LPC ASSOCIATE
• Spry Medical Group Corporation
• Squire Surgical Services PLLC
• Rozemarijn Staal, PSYD
• Stacey Cartlidge LPC PLLC
• Morgan Stahlheber
• Christy Stancliffe
• Christa Ann Stapleton, BCBA

• Clinical Medical Laboratory in Southlake, TX
• Providers in Southlake, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.