Andrea Sciammarella, .M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DR0049293 Issued in CO

Practice address

1925 E Orman Ave Ste G12
Pueblo, CO 81004-3563

Phone

(719) 564-1800

Fax

(719) 564-1865

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1649434614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE STE G12",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043563",
            "telephone_number": "719-564-1800",
            "fax_number": "719-564-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE STE G12",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043563",
            "telephone_number": "719-564-1800",
            "fax_number": "719-564-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIAMMARELLA",
        "first_name": "ANDREA",
        "credential": ".M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR0049293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40622282",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Hauser Schultz, PSYD, LPC
• Kiely Michele Schultz
• Kyle S Schulz, D.D.S.
• Valerie E Schuster, MA, LPC
• Terry Lee Schwartz, PA-C
• Tess Scogan
• Michelle J Scoggin, RN
• Brian G Scott, DDS
• Karla Lee Scull, MSW
• Esther Searcy, COTA/L

• Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.