Ebony Cassandra Sudduth, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2025041043 Issued in MO

Practice address

3824 S Grand Blvd
Saint Louis, MO 63118-3412

Phone

(314) 814-8180

NPI assigned

Oct 6, 2025

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Little Hills Healthcare LLCGroup PAC ID 7719897529, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lees Summit, MO
  • NPI 1194422253
  Medicare reassignment Care Compare group NPD
• Curana Health of Missouri-Kansas LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1306165337
  Medicare reassignment Care Compare group NPD
• Little Hills Healthcare, LLC

  • Psychiatric Hospital
  • Saint Charles, MO
  • NPI 1659364206
  Medicare reassignment Care Compare group NPD
• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1508867508
  Medicare reassignment NPD
• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1023285624
  NPD

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1174497721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 CEDARHURST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365616",
            "telephone_number": "636-628-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183412",
            "telephone_number": "314-814-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4352 Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631102138",
            "country_code": "US",
            "telephone_number": "314-531-5444",
            "fax_number": "314-531-0063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Holly Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631112410",
            "country_code": "US",
            "telephone_number": "314-353-5190",
            "fax_number": "314-353-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "EBONY",
        "middle_name": "CASSANDRA",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025041043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Successful Outcomes,LLC
• Lauren Sucher-O'Grady, M.D.
• Mark Gerard Sucher I, M.D.
• Kathleen Suda, RN-PLPC
• Kavya Sudanagunta, MD
• Rebecca Sudduth
• Samantha Kay Sudduth
• Taylor Sudduth
• Sean Nicole Sudekum
• Deepti Sudhakar

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.