Individual provider Active NPI

Florence Alao, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1245993393
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1056676 Issued in TX
Practice address
1915 N Frazier St Ste 102
Conroe, TX 77301-1243
Phone
(832) 738-5169
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1056676 TX Primary
Wound Care Registered Nurse 163WW0000X 734260 TX

Addresses

Primary practice location

1915 N Frazier St Ste 102
Conroe, TX 77301-1243

Mailing address

1915 N Frazier St Ste 102
Conroe, TX 77301-1243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250307001374 AR Practitioner - Nurse Practitioner 8820485964 Reassigns benefits to 2 organizations
I20260105000710 MN Practitioner - Nurse Practitioner 8820485964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carver CountyGroup PAC ID 8527041961, 9 clinicians

Practice addresses (Care Compare)

540 E 1St St
Waconia, MN 55387-1600

540 E 1St St
Waconia, MN 55387-1601
Phone (952) 442-4437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734260TXMDWound Care Registered Nurse
11275MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Psych Health LLC CurrentSince Mar 10, 2025 Accepting new patients
Carver County CurrentSince Jan 5, 2025 Accepting new patients
Mena Family Health Center CurrentSince Feb 26, 2025 Accepting new patients

Locations

825 Highway 71 N
Ste O
Alma, AR 72921
Phone (479) 276-5020

1103 College Dr
Mena, AR 71953
Phone (479) 394-1414

400 Crestwood Cir
Ste L
Mena, AR 71953
Phone (479) 243-2103

540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1245993393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N FRAZIER ST STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773011243",
            "telephone_number": "832-738-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAO",
        "first_name": "FLORENCE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056676",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "734260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.