Individual provider Active NPI

Vincent Erick Flores

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053809665
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP137364 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236
Phone
(713) 376-3459
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP137364 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236

Mailing address

1315 St Joseph Pkwy Ste 1307
Houston, TX 77002-8236
Phone (713) 376-3459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180601000129 TX Practitioner - Nurse Practitioner 6406111095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137364TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Dec 18, 2019 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatric/Mental Health CurrentSince Dec 18, 2019 Accepting new patients
Esteem Psychiatry, PLLC Psychiatric/Mental Health PastSince Jul 1, 2021 Accepting new patients
Tony a Pham MD PA PastSince Jul 24, 2022 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

Organizations & group practices 4

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1053809665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "713-376-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028236",
            "telephone_number": "713-376-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "VINCENT",
        "middle_name": "ERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP137364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.