Individual provider Active NPI

Andrea Fernandez Flores

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1003427642
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1856 Issued in ND
Practice address
2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100
Phone
(701) 741-8057
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1856 ND Primary

Addresses

Primary practice location

2600 Demers Ave Ste 101
Grand Forks, ND 58201-4100

Mailing address

3111 24TH Ave S Apt 206
Grand Forks, ND 58201-6558
Phone (915) 929-3471

Other practice location 1

310 Red Lake Blvd
Thief River Falls, MN 56701-2133
Phone (218) 686-9575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1856NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quotable Kids Pediatric Therapy Clinic, PLLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045

Organizations & group practices 1

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1003427642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 24TH AVE S APT 206",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016558",
            "telephone_number": "915-929-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-741-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Red Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012133",
            "country_code": "US",
            "telephone_number": "218-686-9575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ FLORES",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.