Individual provider Active NPI

Emily Callens Scuderi, FNP

  • Family Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1235676404
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09136 Issued in LA
Practice address
921 1St Ave
Sulphur, LA 70663-3424
Phone
(337) 527-6285
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09136 LA Primary

Addresses

Primary practice location

921 1St Ave
Sulphur, LA 70663-3424

Mailing address

1408 Waverly St
Lake Charles, LA 70605-6140
Phone (337) 540-3803

Other practice location 1

1714 Wolf CIrcle
Lake Charles, LA 70605
Phone (337) 240-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20170601002280 LA Practitioner - Nurse Practitioner 6002183654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew T Davies MD LLCGroup PAC ID 7113246927, 2 clinicians

Practice addresses (Care Compare)

1327 Stelly LN
Suite 3
Sulphur, LA 70663-5650
Phone (337) 528-7316

Hospital & facility affiliations

  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District CurrentSince Aug 3, 2024 Accepting new patients
Andrew T Davies MD LLC CurrentSince May 1, 2025 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Aug 3, 2024 Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

920 1st Ave
Sulphur, LA 70663
Phone (337) 527-6301

921 1st Ave
Sulphur, LA 70663
Phone (337) 527-2491

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

1327 Stelly Ln
Ste 3
Sulphur, LA 70663
Phone (337) 439-2040

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235676404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 WAVERLY ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056140",
            "telephone_number": "337-540-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633424",
            "telephone_number": "337-527-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 Wolf CIrcle",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "70605",
            "country_code": "US",
            "telephone_number": "337-240-9511",
            "fax_number": "337-240-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "EMILY",
        "middle_name": "CALLENS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.