Individual provider Active NPI

Brenda Lizeth Flores, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1205651676
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1180168 Issued in TX
Practice address
1405 Jacaman Rd Ste 104
Laredo, TX 78041-6225
Phone
(956) 727-3047
Fax
(356) 717-3630
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1180168 TX Primary

Addresses

Primary practice location

1405 Jacaman Rd Ste 104
Laredo, TX 78041-6225

Mailing address

1405 Jacaman Rd Ste 104
Laredo, TX 78041-6225
Phone (956) 727-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1310 Trey Dr
Laredo, TX 78041-6394

1405 Jacaman Rd
Suite 104
Laredo, TX 78041-6224

281 Path Valley Rd
Fort Loudon, PA 17224-9792

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1180168TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Border Clinic PLLC CurrentSince Nov 24, 2024 Accepting new patients
Border Clinic, PA PastSince Nov 24, 2024 Accepting new patients

Locations

1405 Jacaman Rd
Ste 104
Laredo, TX 78041
Phone (956) 718-9767

1310 Trey Dr
Ste 100
Laredo, TX 78041

1310 Trey Dr
Laredo, TX 78041
Phone (956) 727-3047

908 Hidalgo Blvd
Ste A
Zapata, TX 78076
Phone (956) 265-9090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEEBD

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1205651676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416225",
            "telephone_number": "956-727-3047",
            "fax_number": "356-717-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 JACAMAN RD STE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416225",
            "telephone_number": "956-727-3047",
            "fax_number": "356-717-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "BRENDA",
        "middle_name": "LIZETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.