Individual provider Active NPI

Scarlet Deluhery, LPN

  • Licensed Practical Nurse
  • Pekin, IL
National Provider Identifier
1124396015
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
043111149 Issued in IL
Practice address
2077 Edgewater Dr
Pekin, IL 61554-7833
Phone
(309) 382-2006
Fax
(309) 382-2007
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 043111149 IL
Licensed Practical Nurse 164W00000X 043111149 IL Primary

Addresses

Primary practice location

2077 Edgewater Dr
Pekin, IL 61554-7833

Mailing address

2077 Edgewater Dr
Pekin, IL 61554-7833
Phone (309) 382-2006

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
043111149ILMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Past Accepting new patients

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1124396015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 EDGEWATER DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547833",
            "telephone_number": "309-382-2006",
            "fax_number": "309-382-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 EDGEWATER DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547833",
            "telephone_number": "309-382-2006",
            "fax_number": "309-382-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUHERY",
        "first_name": "SCARLET",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "043111149",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043111149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.