Active NPI
Amanda Dee Flores
- Family Nurse Practitioner
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1129646
- Practice address
- 5000 Briarwood Ave
Midland, TX 79707-2753 - Phone
- (432) 682-5385
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1129646 | TX | Primary |
Addresses
Primary practice location
5000 Briarwood Ave
Midland, TX 79707-2753
Mailing address
4317 Ferncliff Ave
Midland, TX 79707-5421
Phone (432) 788-0977
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10607 Quaker Ave
Unit 102
Lubbock, TX 79424-8465
Phone (806) 318-0441
5000 Briarwood Ave
Midland, TX 79707-2753
Phone (432) 682-5385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129646 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allervie Health Texas PA | Multi-Specialty | Current | Accepting new patients |
| West Texas Allergy, PA | Multi-Specialty | Current | Accepting new patients |
Locations
5424 19th St
Ste 300
Lubbock, TX 79407
Phone (806) 795-4391
10607 Quaker Ave
Unit 102
Lubbock, TX 79424
Phone (806) 318-0441
3502 22nd St
Lubbock, TX 79410
Phone (806) 771-5595
5000 Briarwood Ave
Ste 100
Midland, TX 79707
Phone (432) 682-5385
5000 Briarwood Ave
Midland, TX 79707
Phone (432) 682-5385
Interoperability endpoints
- flores.amanda.013.0090427@avh.meditab.direct-ci.com
- flores.amanda.017.0090427@avh.meditab.direct-ci.com
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": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1083394977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 FERNCLIFF AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075421",
"telephone_number": "432-788-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BRIARWOOD AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797072753",
"telephone_number": "432-682-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "AMANDA",
"middle_name": "DEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1129646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.