Individual provider Active NPI

Sydney Nicole Rudnicki, APRN, CPNP-PC

  • Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1629623871
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224936 Issued in LA
Practice address
5630 Read Blvd
New Orleans, LA 70127-3106
Phone
(504) 248-5357
Fax
(504) 248-5377
NPI assigned
Aug 5, 2019
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F382992 NY
Pediatrics Physician 208000000X 224936 LA
Nurse Practitioner 363L00000X 224936 LA Primary

Addresses

Primary practice location

5630 Read Blvd
New Orleans, LA 70127-3106

Mailing address

5630 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 248-5357

Other names 1

  • Sydney Nicole Fitzpatrick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sydney.fitzpatrick@dcsno.org

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
I20241121002766 LA Practitioner - Nurse Practitioner 5193250561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F382992NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Aug 9, 2024 Accepting new patients
Marillac Community Health Centers Current Accepting new patients
Marillac Community Health Centers CurrentSince Aug 9, 2024 Accepting new patients
Marillac Community Health Centers PastSince Oct 4, 2020 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Mark B. Lew, MD, LLC PastSince Aug 1, 2019 Accepting new patients
Marillac Community Health Centers PastSince Nov 1, 2023 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients

Locations (25 of 28)

1629 Westbank Expy
Harvey, LA 70058
Phone (504) 367-8777

1629 Westbank Expy
Ste A
Harvey, LA 70058
Phone (504) 367-8777

1908 Short St
Kenner, LA 70062

3715 Williams Blvd
Ste 220
Kenner, LA 70065
Phone (504) 468-4437

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

3116 6th St
Ste 101
Metairie, LA 70002
Phone (504) 837-9000

6421 W Metairie Ave
Metairie, LA 70003

100 Warrington Dr
New Orleans, LA 70122
Phone (504) 667-4300

1025 Napoleon Ave
New Orleans, LA 70115
Phone (504) 891-1927

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

1200 L B Landry Ave
New Orleans, LA 70114
Phone (504) 302-7170

1423 Saint Philip St
New Orleans, LA 70116
Phone (504) 258-9409

1501 Abundance St
New Orleans, LA 70119

1651 N Tonti St
New Orleans, LA 70119
Phone (504) 258-9409

2801 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 362-8930

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 482-2080

3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873

3617 General Pershing St
New Orleans, LA 70125
Phone (504) 373-5338

4000 Cadillac St
New Orleans, LA 70122
Phone (504) 324-7600

4400 General Meyer Ave
New Orleans, LA 70131
Phone (503) 302-7135

4720 Painters St
New Orleans, LA 70122
Phone (504) 280-2309

5300 Berkley Dr
New Orleans, LA 70131
Phone (504) 302-7121

5630 Read Blvd
New Orleans, LA 70127
Phone (504) 248-5357

5630 Read Blvd
Ste B
New Orleans, LA 70127

5712 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 324-7500

Interoperability endpoints

  • Direct secure messaging: sydney.fitzpatrick@dcsno.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1629623871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-248-5357",
            "fax_number": "504-248-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-248-5357",
            "fax_number": "504-248-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICKI",
        "first_name": "SYDNEY",
        "middle_name": "NICOLE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "F382992",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "224936",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "224936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sydney.fitzpatrick@dcsno.org",
            "affiliation": "N",
            "address_1": "5630 Read Blvd",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701273106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "FITZPATRICK",
            "middle_name": "NICOLE",
            "credential": "APRN, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.