Individual provider Active NPI

Lauren Kmak, DNP, NP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1699205757
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10230 Issued in AZ
Practice address
17300 N Perimeter Dr Ste 220
Scottsdale, AZ 85255-6703
Phone
(480) 661-2661
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 AP10230 AZ Primary

Addresses

Primary practice location

17300 N Perimeter Dr Ste 220
Scottsdale, AZ 85255-6703

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (602) 222-1900

Other practice location 1

7340 E Thomas Rd
Scottsdale, AZ 85251-7216
Phone (602) 557-0060

Other identifiers 1

IdentifierTypeStateIssuer
275812MedicaidAZ

Other names 1

  • Lauren Hendricks 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
I20170720002067 AZ Practitioner - Nurse Practitioner 0244500437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Urology Specialists PLLCGroup PAC ID 5092863852, 84 clinicians

Practice addresses (Care Compare)

17300 N Perimeter Dr
Suite 220
Scottsdale, AZ 85255-6703
Phone (480) 661-2662

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Urology Specialists, PLLC CurrentSince Aug 16, 2017 Accepting new patients
Foothills Urology, PC Current Accepting new patients

Locations

2530 E Southern Ave
Mesa, AZ 85204
Phone (480) 834-4188

77 E Thomas Rd
Ste 230
Phoenix, AZ 85012
Phone (602) 253-3084

3501 N Scottsdale Rd
Ste 250
Scottsdale, AZ 85251
Phone (480) 941-5266

20201 N Scottsdale Healthcare Dr
Ste 280
Scottsdale, AZ 85255
Phone (480) 505-3484

7340 E Thomas Rd
Scottsdale, AZ 85251
Phone (480) 945-6896

17300 N Perimeter Dr
Ste 220
Scottsdale, AZ 85255
Phone (480) 661-2661

20401 N 73rd St
Ste 105
Scottsdale, AZ 85255
Phone (480) 505-3484

10301 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 661-2662

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: laurenkmak@fu.allscriptsdirect.net

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1699205757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "602-222-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N PERIMETER DR STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556703",
            "telephone_number": "480-661-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7340 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852517216",
            "country_code": "US",
            "telephone_number": "602-557-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KMAK",
        "first_name": "LAUREN",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275812",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HENDRICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.