Individual provider Active NPI

Sandra Flores, WHNP

  • Women's Health Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1245260728
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
627306 Issued in TX
Practice address
801 Corpus Christi St
Laredo, TX 78040-5261
Phone
(956) 727-0722
Fax
(956) 727-0498
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 627306 TX Primary

Addresses

Primary practice location

801 Corpus Christi St
Laredo, TX 78040-5261

Mailing address

801 Corpus Christi St
Laredo, TX 78040-5261
Phone (956) 727-0722

Other identifiers 1

IdentifierTypeStateIssuer
159713001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231004002629 TX Practitioner - Nurse Practitioner 7618322025 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP109615TXMDFamily Nurse Practitioner
627306TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Health Center, Inc. CurrentSince Jun 16, 2023 Accepting new patients
Gateway Community Health Center, Inc CurrentSince Jun 16, 2023 Accepting new patients
Gateway Community Health Center, Inc Current Accepting new patients
Gateway Community Health Center, Inc. Past Accepting new patients

Locations

208 Shiloh Dr
Ste 1
Laredo, TX 78045
Phone (956) 718-6281

1515 Pappas St
Laredo, TX 78041
Phone (956) 523-3642

1702 Lafayette St
Laredo, TX 78041
Phone (956) 625-3344

Organizations & group practices 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1245260728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405261",
            "telephone_number": "956-727-0722",
            "fax_number": "956-727-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405261",
            "telephone_number": "956-727-0722",
            "fax_number": "956-727-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "627306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159713001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.