Individual provider Active NPI

Lori Lynn Schott, ACNP

  • Acute Care Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1609236967
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP8486 Issued in AZ
Practice address
3555 Western Ave
Kingman, AZ 86409-3011
Phone
(928) 757-8440
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8486 AZ Primary

Addresses

Primary practice location

3555 Western Ave
Kingman, AZ 86409-3011

Mailing address

3555 Western Ave
Kingman, AZ 86409-3011
Phone (928) 757-8440

Other names 1

  • Lori Lynn Moody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160909002112 AZ Practitioner - Nurse Practitioner 3476848540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A. Paul Kalanithi MD, PC CurrentSince Feb 24, 2018 Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Aug 17, 2020 Accepting new patients
Premier Chronic Care Management, PLLC Current Accepting new patients
Monolith Diagnostics, PC PastSince Aug 2, 2016 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1753 Airway Ave
Ste A
Kingman, AZ 86409
Phone (520) 757-4359

3555 Western Ave
Kingman, AZ 86409
Phone (928) 530-5430

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3629/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1609236967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093011",
            "telephone_number": "928-757-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093011",
            "telephone_number": "928-757-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MOODY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.