Jill Flickinger

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN102211 Issued in AZ

Practice address

17032 W Surprise Farms Loop S
Surprise, AZ 85388-1581

Phone

(623) 523-8640

Fax

(623) 523-8611

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316078488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15871 W LAUREL CANYON CT",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744517",
            "telephone_number": "623-523-8640",
            "fax_number": "623-523-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17032 W SURPRISE FARMS LOOP S",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881581",
            "telephone_number": "623-523-8640",
            "fax_number": "623-523-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN102211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856239",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fixingfeet, PLLC
• Thor Hilding Fjell II, LPC, NCC
• Patricia Flanagan
• Christine Flaningam
• Laura Diane Fletcher, BC-FNP, C-ENP
• Kayla Lynn Flores
• Kimberly Ann Flores, FNP-C
• Mirna Elena Flores, DMD
• Patricio E Flores
• Ruben Flores II

• Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.