Individual provider Active NPI

Flor Avila Fimbres, NP

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1164023339
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
240769 Issued in AZ
Practice address
4921 E Bell Rd
Scottsdale, AZ 85254-6002
Phone
(800) 640-3451
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 240769 AZ Primary

Addresses

Primary practice location

4921 E Bell Rd
Scottsdale, AZ 85254-6002

Mailing address

PO Box 1200
Pleasant Grove, UT 84062-1200
Phone (800) 640-3451

Other practice location 1

1701 E Country Club Rd.
Tuscon, AZ 85716
Phone (520) 850-4368

Other names 1

  • Flor A Fimbres Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201223002054 AZ Practitioner - Nurse Practitioner 1850703497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bku Wound Management PLLCGroup PAC ID 7113450081, 8 clinicians

Practice addresses (Care Compare)

4921 E Bell Rd
Suite 205
Scottsdale, AZ 85254-6002
Phone (800) 640-3451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240769AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bku Wound Management PLLC CurrentSince Nov 1, 2024 Accepting new patients
Spencer J Hardenbrook MD PC CurrentSince May 21, 2024 Accepting new patients

Locations

4921 E Bell Rd
Ste 205
Scottsdale, AZ 85254
Phone (602) 753-9403

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1164023339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546002",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 E Country Club Rd.",
            "address_purpose": "LOCATION",
            "city": "Tuscon",
            "state": "AZ",
            "postal_code": "85716",
            "country_code": "US",
            "telephone_number": "520-850-4368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIMBRES",
        "first_name": "FLOR",
        "middle_name": "AVILA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "240769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLOR",
            "last_name": "FIMBRES",
            "middle_name": "A",
            "credential": "FLOR AVILA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.