Active NPI
Lori Lynn Schott, ACNP
- Acute Care Nurse Practitioner
- Kingman, AZ
National Provider Identifier
1609236967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP8486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160909002112 | AZ | Practitioner - Nurse Practitioner | 3476848540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Paul Kalanithi MD, PC | Current | Accepting new patients | |
| Community Medical Services Arizona-Private, LLC | Current | Accepting new patients | |
| Premier Chronic Care Management, PLLC | Current | Accepting new patients | |
| Monolith Diagnostics, PC | Past | Accepting new patients | |
| Community Medical Services Arizona-Private, LLC | Past | Accepting new patients | |
| Community Medical Services Arizona-Private, LLC | Past | 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
- 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.
-
- Specialist
- Kingman, AZ
- NPI 1881636066
-
- Methadone Clinic
- Casa Grande, AZ
- NPI 1154822062
-
- Internal Medicine Physician
- Kingman, AZ
- NPI 1669864690
-
- Methadone Clinic
- Glendale, AZ
- NPI 1053474148
-
- Methadone Clinic
- Phoenix, AZ
- NPI 1942892856
-
- Anatomic Pathology Physician
- Kingman, AZ
- NPI 1386190718
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.