Individual provider Active NPI

Sydney Dianna Rudy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
National Provider Identifier
1427802875
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
342477 Issued in LA
Practice address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone
(337) 480-4948
Fax
(337) 491-7195
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 342477 LA Primary

Addresses

Primary practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Mailing address

1727 Imperial Blvd Ste a
Lake Charles, LA 70605-5393
Phone (337) 480-4948

Other practice location 1

1727 Imperial Blvd Bldg 1A
Lake Charles, LA 70605-5392
Phone (337) 480-4948

Other practice location 2

4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 474-6370

Other practice location 3

1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 721-7236

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

State licenses

LicenseStateTypeSpecialty
342477LAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1427802875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055393",
            "telephone_number": "337-480-4948",
            "fax_number": "337-491-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-480-4948",
            "fax_number": "337-491-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Imperial Blvd Bldg 1A",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706055392",
            "country_code": "US",
            "telephone_number": "337-480-4948",
            "fax_number": "337-491-7195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Nelson Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054118",
            "country_code": "US",
            "telephone_number": "337-474-6370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Imperial Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706055362",
            "country_code": "US",
            "telephone_number": "337-721-7236",
            "fax_number": "337-721-7237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDY",
        "first_name": "SYDNEY",
        "middle_name": "DIANNA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "342477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.