Mary J Flora, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

17927 Issued in AK

Practice address

309 Spruce Street
Yukon Flats Health Center
Fort Yukon, AK 99740

Phone

(907) 662-2460

Fax

(907) 662-2709

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134295082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 21ST AVE",
            "address_2": "#F",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-457-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SPRUCE STREET",
            "address_2": "YUKON FLATS HEALTH CENTER",
            "city": "FORT YUKON",
            "state": "AK",
            "postal_code": "99740",
            "telephone_number": "907-662-2460",
            "fax_number": "907-662-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORA",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AK",
            "license": "17927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Council of Athabascan Tribal Governments
• Evelyn Irene Doucet
• Shannon Hardy, DHAT
• Debra Lee McCarty, CHP
• Diana Marie McCarty, CHA-LLL
• Franklin A. Oiler, DDS
• Ethel Beverly Peter

• Diabetes Educator Registered Nurse in Fort Yukon, AK
• Providers in Fort Yukon, AK by specialty
• Diabetes Educator Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.