Individual provider Active NPI

Arnette Scavella, MD

  • Pediatrics Physician
  • Port Allen, LA
National Provider Identifier
1912198219
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.200538 Issued in LA
Practice address
3515 Highway 1 South
Port Allen, LA 70767
Phone
(225) 749-5750
Fax
(225) 749-3138
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.200538 LA Primary

Addresses

Primary practice location

3515 Highway 1 South
Port Allen, LA 70767

Mailing address

2221 Houma Blvd
Apt 229
Metairie, LA 70001-1378
Phone (504) 256-0371

Other identifiers 1

IdentifierTypeStateIssuer
1075027MedicaidLA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.200538LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 2 of Parish of Beauregard State of la Current Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients
River Healthcare, Inc Past Accepting new patients
Beauregard Family Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arnette.scavella@beauregard.medalliesdirect.net

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1912198219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 HOUMA BLVD",
            "address_2": "APT 229",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011378",
            "telephone_number": "504-256-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 HIGHWAY 1 SOUTH",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "70767",
            "telephone_number": "225-749-5750",
            "fax_number": "225-749-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAVELLA",
        "first_name": "ARNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.200538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1075027",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.