Active NPI
Lauren Kmak, DNP, NP-C
- Family Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10230
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275812 | Medicaid | AZ |
Other names 1
- Lauren Hendricks
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Urology Specialists, PLLC | Current | 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
- 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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1740426485
-
- Urology Physician
- Golden, CO
- NPI 1780617795
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.