Individual provider Active NPI

Caren Ruth Flodin, NP

  • Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1386828374
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1653 Issued in AZ
Practice address
1830 Mesquite Avenue
Ste a
Lake Havasu City, AZ 86403-5791
Phone
(928) 855-8071
Fax
(928) 855-6869
NPI assigned
Dec 26, 2007
Last updated
May 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 AP1653 AZ Primary

Addresses

Primary practice location

1830 Mesquite Avenue
Ste a
Lake Havasu City, AZ 86403-5791

Mailing address

1830 Mesquite Avenue
Ste a
Lake Havasu City, AZ 86403-5791
Phone (928) 855-8071

Other names 1

  • Caren Ruth Meehan Former name

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
I20040811000909 AZ Practitioner - Nurse Practitioner 3274505037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1653AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Health Mirza MD PC Past Accepting new patients
Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBICD

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1386828374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVENUE",
            "address_2": "STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035791",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MESQUITE AVENUE",
            "address_2": "STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035791",
            "telephone_number": "928-855-8071",
            "fax_number": "928-855-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLODIN",
        "first_name": "CAREN",
        "middle_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREN",
            "last_name": "MEEHAN",
            "middle_name": "RUTH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.