Individual provider Active NPI

Laura N. Endres, FNP-C

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1346616976
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A169585 Issued in IA
Practice address
1130 W 53Rd St
Davenport, IA 52806-2401
Phone
(847) 235-6130
Fax
(847) 235-6135
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A169585 IA Primary

Addresses

Primary practice location

1130 W 53Rd St
Davenport, IA 52806-2401

Mailing address

6348 N Milwaukee Ave Ste 390
Chicago, IL 60646-3728
Phone (847) 235-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20251022003089 IA Practitioner - Nurse Practitioner 2062900921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Iowa PCGroup PAC ID 0749590826, 6 clinicians

Practice addresses (Care Compare)

1130 W 53Rd St
Davenport, IA 52806-2401
Phone (847) 235-6130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A169585IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Iowa PC CurrentSince Dec 8, 2025 Accepting new patients
LMMC Des Moines LLLP PastSince Jan 29, 2023 Accepting new patients

Locations

2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463

1130 W 53rd St
Davenport, IA 52806
Phone (563) 340-3782

6348 N Milwaukee Ave
Ste 390
Chicago, IL 60646

Organizations & group practices 2

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1346616976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE STE 390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062401",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRES",
        "first_name": "LAURA",
        "middle_name": "N.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A169585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.