Individual provider Active NPI

Kathleen Suzanne Florea, NP

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1275527764
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2900 Issued in AZ
Practice address
1510 N Stockton Hill Rd
Kingman, AZ 86401-5173
Phone
(928) 753-1177
Fax
(928) 718-4501
NPI assigned
Sep 12, 2005
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 AP2900 AZ Primary

Addresses

Primary practice location

1510 N Stockton Hill Rd
Kingman, AZ 86401-5173

Mailing address

8409 S Palisades Dr
Hereford, AZ 85615-5842
Phone (520) 921-0421

Other identifiers 1

IdentifierTypeStateIssuer
281216MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080206000422 AZ Practitioner - Nurse Practitioner 4284601956 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2900AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 25, 2007 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Oct 25, 2007 Accepting new patients
North Country Healthcare Inc Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Julia Street Clinic, Inc. Past Accepting new patients
Community Health Clinic Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 704-1221

1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 522-1300

1120 W University Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 522-1300

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

1401 W Florida St
Holbrook, AZ 86025
Phone (928) 251-0386

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

3505 Western Ave
Ste B
Kingman, AZ 86409
Phone (928) 692-0849

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Organizations & group practices 9

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1275527764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 S PALISADES DR",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856155842",
            "telephone_number": "520-921-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864015173",
            "telephone_number": "928-753-1177",
            "fax_number": "928-718-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREA",
        "first_name": "KATHLEEN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281216",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.