Ebony Sudduth, DNP, PMHNP-BC
NPI 1174497721 · Psychiatric/Mental Health Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebony Sudduth, DNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Saint Louis, MO (NPI 1174497721).
Provider details
- NPI number
- 1174497721
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2025041043 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4352 Manchester AveSaint Louis, MO 63110-2138Phone: (314) 531-5444Fax: (314) 531-0063
- 401 Holly Hills AveSaint Louis, MO 63111-2410Phone: (314) 353-5190Fax: (314) 353-7631
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Ebony Sudduth's NPI number?
- Ebony Sudduth's National Provider Identifier (NPI) is 1174497721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Sudduth's specialty?
- Ebony Sudduth is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ebony Sudduth located?
- Ebony Sudduth's practice location on file with NPPES is 3824 S Grand Blvd, Saint Louis, MO 63118-3412.
- What is Ebony Sudduth's phone number?
- The practice phone number listed in the NPPES registry for Ebony Sudduth is (314) 814-8180.
- Does Ebony Sudduth accept Medicare?
- Ebony Sudduth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebony Sudduth's NPI active?
- Yes — Ebony Sudduth's NPI (1174497721) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.