Active NPI
Maryam Nedal Scimio, APRN, FNP-C
- Family Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1134694847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202300
- Practice address
- 1211 Coolidge Blvd Ste 300
Lafayette, LA 70503-2637 - Phone
- (337) 289-0042
- NPI assigned
- Oct 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN143418 | LA | |
| Family Nurse Practitioner | 363LF0000X | 202300 | LA | Primary |
Addresses
Primary practice location
1211 Coolidge Blvd Ste 300
Lafayette, LA 70503-2637
Mailing address
1211 Coolidge Blvd Ste 300
Lafayette, LA 70503-2637
Phone (337) 289-0042
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN143418 | LA | MD | Pediatric Registered Nurse |
| 202300 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iberia Comprehensive Community Health Center,Inc. | Past | Accepting new patients | |
| Iberia Comprehensive Community Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Abbeville Community Health Center
- Federally Qualified Health Center (FQHC)
- Abbeville, LA
- NPI 1134166556
-
- Federally Qualified Health Center (FQHC)
- New Iberia, LA
- NPI 1922046549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1134694847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD STE 300",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032637",
"telephone_number": "337-289-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 COOLIDGE BLVD STE 300",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032637",
"telephone_number": "337-289-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIMIO",
"first_name": "MARYAM",
"middle_name": "NEDAL",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "LA",
"license": "RN143418",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "202300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.