Individual provider Active NPI

Athena Flores, NP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1164024030
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010362 Issued in FL
Practice address
924 N Magnolia Ave Ste 202
Orlando, FL 32803-3220
Phone
(305) 304-7998
Fax
(321) 300-0763
NPI assigned
Nov 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010362 FL Primary
Registered Nurse 163W00000X 9428939 FL
Family Nurse Practitioner 363LF0000X 11010362 FL

Addresses

Primary practice location

924 N Magnolia Ave Ste 202
Orlando, FL 32803-3220

Mailing address

50 S B B King Blvd Ste 100
Memphis, TN 38103-9802
Phone (901) 436-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250310003506 FL Practitioner - Nurse Practitioner 9234679150 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Physicians of Tampa Bay LLCGroup PAC ID 6002344272, 8 clinicians
Heal Precisely of Northside LLCGroup PAC ID 9537544853, 10 clinicians
Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

Practice addresses (Care Compare)

5800 49TH St N
St Petersburg, FL 33709-2146
Phone (727) 306-8790

5880 49TH St N
Suite N 201
St Petersburg, FL 33709-2150
Phone (727) 300-0405

6707 38TH Ave N
St Petersburg, FL 33710-1536
Phone (727) 896-4615

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9428939FLMDRegistered Nurse
11010362FLMDFamily Nurse Practitioner
APRN11010362FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Physicians of Tampa Bay LLC CurrentSince Feb 15, 2025 Accepting new patients
Heal Precisely of Tampa Bay LLC CurrentSince Feb 15, 2025 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Feb 15, 2025 Accepting new patients
Beaton Podiatry Center Inc CurrentSince Nov 15, 2025 Accepting new patients
Heal Precisely of Northside LLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

6707 38th Ave N
St Petersburg, FL 33710
Phone (727) 800-9958

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

Interoperability endpoints

  • Direct secure messaging: ms_aflor206@landmarkhealth-direct.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1164024030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039802",
            "telephone_number": "901-436-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N MAGNOLIA AVE STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033220",
            "telephone_number": "305-304-7998",
            "fax_number": "321-300-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ATHENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010362",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9428939",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.