Active NPI
Valentina None Scalzullo, NP
- Emergency Registered Nurse
- Sahuarita, AZ
National Provider Identifier
1457053456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 223308
- Practice address
- 847 W Calle Calca
Sahuarita, AZ 85629-0907 - Phone
- (520) 390-7425
- NPI assigned
- Mar 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 223308 | AZ | |
| Emergency Registered Nurse | 163WE0003X | 223308 | AZ | Primary |
Addresses
Primary practice location
847 W Calle Calca
Sahuarita, AZ 85629-0907
Mailing address
847 W Calle Calca
Sahuarita, AZ 85629-0907
Phone (520) 390-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19803 1St Ave S
Suite 200
Normandy Park, WA 98148-2410
Phone (480) 712-8319
2355 State St
Suite 101
Salem, OR 97301-4541
Phone (480) 712-8319
4913 S Alma School Rd
Suite 1
Chandler, AZ 85248-5629
Phone (480) 712-8319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223308 | AZ | MD | Gerontology Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1457053456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 W CALLE CALCA",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856290907",
"telephone_number": "520-390-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 W CALLE CALCA",
"city": "SAHUARITA",
"state": "AZ",
"postal_code": "856290907",
"telephone_number": "520-390-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZULLO",
"first_name": "VALENTINA",
"middle_name": "NONE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AZ",
"license": "223308",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "AZ",
"license": "223308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sahuarita, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.