Individual provider Active NPI

Daniela Maria Flores, DNP, FNP-C

  • Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1255044947
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1102201 Issued in TX
Practice address
612 N Washington Ave Ste 200
Odessa, TX 79761-4436
Phone
(432) 332-9263
Fax
(432) 332-9264
NPI assigned
Dec 28, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 1102201 TX Primary

Addresses

Primary practice location

612 N Washington Ave Ste 200
Odessa, TX 79761-4436

Mailing address

612 N Washington Ave Ste 200
Odessa, TX 79761-4436
Phone (432) 332-9263

Other identifiers 1

IdentifierTypeStateIssuer
1102201OtherTXTX LICENSE

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
I20230127000911 TX Practitioner - Nurse Practitioner 7113398264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endovascular Lab PLLCGroup PAC ID 1355770371, 2 clinicians
James Y Li MdpaGroup PAC ID 8224063441, 3 clinicians

Practice addresses (Care Compare)

612 N Washington Ave
Suite 100
Odessa, TX 79761-4436
Phone (432) 360-0034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1102201TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Y Li MD PA CurrentSince Dec 16, 2022 Accepting new patients
Endovascular Lab PLLC CurrentSince Jan 2, 2023 Accepting new patients

Locations

612 N Washington Ave
Ste 100
Odessa, TX 79761
Phone (432) 332-9263

612 N Washington Ave
Ste 200
Odessa, TX 79761
Phone (432) 332-9263

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1255044947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N WASHINGTON AVE STE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614436",
            "telephone_number": "432-332-9263",
            "fax_number": "432-332-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N WASHINGTON AVE STE 200",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614436",
            "telephone_number": "432-332-9263",
            "fax_number": "432-332-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "DANIELA",
        "middle_name": "MARIA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1102201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "1102201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.