Individual provider Active NPI

Alexandra Flores, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Kingwood, TX
National Provider Identifier
1073123428
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
754054 Issued in TX
Practice address
1621 Lakeville Dr Ste 304
Kingwood, TX 77339-2694
Phone
(281) 305-0411
NPI assigned
Jul 31, 2020
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 754054 TX Primary

Addresses

Primary practice location

1621 Lakeville Dr Ste 304
Kingwood, TX 77339-2694

Mailing address

2827 Silver Falls Dr
Kingwood, TX 77339-1997
Phone (281) 705-8659

Other practice location 1

3100 Richmond Ave Ste 401
Houston, TX 77098-3015
Phone (281) 305-0411

Other practice location 2

2510 S Loop 336 W Ste 215-H
Conroe, TX 77304-3701
Phone (281) 305-0411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@bcb.sprucecare.com

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
754054TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou City Breastfeeding, LLC Lactation Consultant PastSince Aug 28, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1073123428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 SILVER FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391997",
            "telephone_number": "281-705-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 LAKEVILLE DR STE 304",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392694",
            "telephone_number": "281-305-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Richmond Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770983015",
            "country_code": "US",
            "telephone_number": "281-305-0411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 S Loop 336 W Ste 215-H",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773043701",
            "country_code": "US",
            "telephone_number": "281-305-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ALEXANDRA",
        "credential": "RN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "754054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bcb.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Spruce Health",
            "address_1": "1621 Lakeville Dr Ste 304",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773392694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.