Individual provider Active NPI

Laura Scott, FNP

  • Family Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1467768358
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.008290 Issued in IL
Practice address
1890 Silver Cross Blvd
Lower Level
New Lenox, IL 60451-9524
Phone
(815) 300-7323
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 209.008290 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Lower Level
New Lenox, IL 60451-9524

Mailing address

1890 Silver Cross Blvd
Lower Level
New Lenox, IL 60451-9524
Phone (815) 300-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20101101000806 IL Practitioner - Nurse Practitioner 2163616483 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.008290ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Dec 3, 2018 Accepting new patients
Health Service Systems, Inc CurrentSince Jan 1, 2013 Accepting new patients
Edward Health Ventures CurrentSince Dec 3, 2018 Accepting new patients
Health Service Systems, Inc CurrentSince Jan 1, 2013 Accepting new patients

Locations

1301 Copperfield Ave
Ste 203
Joliet, IL 60432
Phone (815) 727-4292

9697 191st St
Ste 100
Mokena, IL 60448
Phone (630) 646-6540

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

1890 Silver Cross Blvd
Lowr
New Lenox, IL 60451
Phone (815) 300-7323

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1467768358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "LOWER LEVEL",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-300-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "LOWER LEVEL",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519524",
            "telephone_number": "815-300-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.