NPIMap

Organization Active NPI

Florez Integrated Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1447958004
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FLOREZ INTEGRATED PSYCHIATRIC SERVICES LLC
Practice address
204 E 25TH St Ste 2
Kearney, NE 68847-4569
Phone
(308) 270-0368
Fax
(308) 270-0080
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Garnelle Elizabeth Florez, NURSE PRACTITIONERNPI 1912675307
Title
Pmhnp
Phone
(308) 224-1053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

204 E 25TH St Ste 2
Kearney, NE 68847-4569

Mailing address

PO Box 164
Kearney, NE 68848-0164
Phone (308) 270-0368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613001586 NE Part B Supplier - Clinic/Group Practice 3678930229 Receives reassigned benefits from 2 practitioners
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

204 E 25th St
Ste 2
Kearney, NE 68847
Phone (308) 270-0368

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1447958004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688480164",
            "telephone_number": "308-270-0368",
            "fax_number": "308-270-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 25TH ST STE 2",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688474569",
            "telephone_number": "308-270-0368",
            "fax_number": "308-270-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOREZ INTEGRATED PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "GARNELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "308-224-1053",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.