Individual provider Active NPI

Judith Leonzitta Flores, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1306267398
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
870584 Issued in NV
Practice address
9029 S Pecos Rd Ste 2800
Henderson, NV 89074-7199
Phone
(702) 739-8323
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 870584 NV Primary

Addresses

Primary practice location

9029 S Pecos Rd Ste 2800
Henderson, NV 89074-7199

Mailing address

PO Box 401326
Las Vegas, NV 89140-1326
Phone (702) 739-8323

Other practice location 1

3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996
Phone (702) 739-8323

Other names 1

  • Judith Flores Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240102003692 NV Practitioner - Nurse Practitioner 2365892460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Satish K Sharma MD PCGroup PAC ID 1355357195, 4 clinicians

Practice addresses (Care Compare)

9029 S Pecos Rd
Suite 2800
Henderson, NV 89074-7199
Phone (702) 739-8323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
870584NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satish K Sharma MD PC CurrentSince Nov 19, 2023 Accepting new patients

Locations

9029 S Pecos Rd
Ste 2800
Henderson, NV 89074
Phone (702) 405-3015

3100 W Charleston Blvd
Ste 204
Las Vegas, NV 89102
Phone (702) 380-4242

Interoperability endpoints

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

Organizations & group practices 1

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1306267398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401326",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401326",
            "telephone_number": "702-739-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 S PECOS RD STE 2800",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747199",
            "telephone_number": "702-739-8323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 W Charleston Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021996",
            "country_code": "US",
            "telephone_number": "702-739-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JUDITH LEONZITTA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "870584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "FLORES",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.