Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154658664 Individual Practitioner Female Practitioner

Amelia Sita Ravishankara

Specialist • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Amelia Ravishankara is a registered healthcare professional specializing in Specialist in Boulder, CO. Practice services are available at 580 MOHAWK DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

580 Mohawk Drive
Baseline Medical Office

Boulder, CO 80302

Telephone 3036141400
Associated Practice Facility / Clinic
🏢 Kiaser Permanente Facility NPI 1073758058

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.5 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Boulder, CO (1204 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kayla Froid , RN

Registered Nurse

NPI 1003194614

Registered Nurse

Patti Welch , RN

Registered Nurse

NPI 1003215534

Registered Nurse

Marika Brimeyer , RN

Registered Nurse

NPI 1003249970

Registered Nurse

NPI 1013161140

Master of Arts

NPI 1013161595
Deborah Kervin , RN

Registered Nurse

NPI 1013297951

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2009

Registered at 580 MOHAWK DRIVE, BASELINE MEDICAL OFFICE, BOULDER, CO 80302 (Tel: 3036141400)

📍
Updated Business Mailing Address November 05, 2009

Registered at 7931 W 55TH AVE, APT 202, ARVADA, CO 800023704 (Tel: 7203520892)

👤
Provider Name / Credentials Updated November 05, 2009

Recorded as AMELIA RAVISHANKARA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2009

Specialist

🟢
Initial NPI Registration & Enumeration November 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154658664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2009
Last Update: November 05, 2009
Sole Proprietor: Yes

Mailing Address

7931 W 55th Ave, Apt 202

Arvada, CO 800023704

Phone: 7203520892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.