Active NPI
Kathleen Anne McKinney Scott
- Nurse Practitioner
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209023016
- Practice address
- 701 W North Ave
Melrose Park, IL 60160-1612 - Phone
- (708) 681-3200
- NPI assigned
- Aug 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 041412667 | IL | |
| Acute Care Nurse Practitioner | 363LA2100X | 209023016 | IL | |
| Nurse Practitioner | 363L00000X | 209023016 | IL | Primary |
Addresses
Primary practice location
701 W North Ave
Melrose Park, IL 60160-1612
Mailing address
701 W North Ave
Melrose Park, IL 60160-1612
Other names 1
- Kathleen Anne McKinney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmckinney145158@direct.luhs.org | Direct | LOYOLA UNIVERSITY MEDICAL CENTER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210921001436 | IL | Practitioner - Nurse Practitioner | 0345647103 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loyola University Medical Center
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Hospital & facility affiliations
- Loyola Gottlieb Memorial Hospital
- Loyola University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041412667 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092
Organizations & group practices 7
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.
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Maywood, IL
- NPI 1063504165
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1104462126
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Home Infusion Therapy Pharmacy
- Hickory Hills, IL
- NPI 1386785152
-
- Durable Medical Equipment & Medical Supplies
- Maywood, IL
- NPI 1912042029
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1689348922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601612",
"telephone_number": "708-681-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY SCOTT",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-02",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "041412667",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209023016",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209023016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmckinney145158@direct.luhs.org",
"affiliation": "Y",
"affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MCKINNEY",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.