Active NPI
Ashley Nicole Flores, BA, QMHA
- Case Manager/Care Coordinator
- Salem, OR
National Provider Identifier
1124683800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 93-6002307
- Practice address
- 3180 Center St NE
Salem, OR 97301-4532 - Phone
- (503) 585-4949
- NPI assigned
- May 7, 2019
- Last updated
- May 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 93-6002307 | Primary |
Addresses
Primary practice location
3180 Center St NE
Salem, OR 97301-4532
Mailing address
2487 Coral Ave NE Apt B
Salem, OR 97305-4261
Phone (503) 717-2855
Other practice location 1
1118 Oak St SE
Salem, OR 97301-4019
Phone (503) 585-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122994 | Medicaid | OR |
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion County | Past | 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.
-
dba Marion County Health Department
- Adult Mental Health Clinic/Center
- Salem, OR
- NPI 1528147782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1124683800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2487 CORAL AVE NE APT B",
"city": "SALEM",
"state": "OR",
"postal_code": "973054261",
"telephone_number": "503-717-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014532",
"telephone_number": "503-585-4949"
}
],
"practiceLocations": [
{
"address_1": "1118 Oak St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973014019",
"country_code": "US",
"telephone_number": "503-585-4949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "BA, QMHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": "93-6002307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122994",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.