Individual provider Active NPI

Valentina None Scalzullo, NP

  • Emergency Registered Nurse
  • Sahuarita, AZ
National Provider Identifier
1457053456
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
223308 Issued in AZ
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

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230922003024 AZ Practitioner - Nurse Practitioner 9335593441 Reassigns benefits to 1 organization
I20250625000713 OR Practitioner - Nurse Practitioner 9335593441 Reassigns benefits to 1 organization
I20250723001980 WA Practitioner - Nurse Practitioner 9335593441 Reassigns benefits to 1 organization

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
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

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

LicenseStateTypeSpecialty
223308AZMDGerontology 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

Verify at the official NPI Registry.