Individual provider Active NPI

Amanda Dee Flores

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1083394977
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129646 Issued in TX
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

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023001895 TX Practitioner - Nurse Practitioner 1557717840 Reassigns benefits to 2 organizations

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
Allervie Health Texas PAGroup PAC ID 4789659392, 9 clinicians
West Texas Allergy PAGroup PAC ID 4385693167, 4 clinicians

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

LicenseStateTypeSpecialty
1129646TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allervie Health Texas PA Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
West Texas Allergy, PA Multi-Specialty CurrentSince Aug 14, 2023 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

  • Direct secure messaging: flores.amanda.013.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: 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

Verify at the official NPI Registry.