Active NPI
Jacqueline Flores, NP
- Women's Health Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1037089
- Practice address
- 100 Colorado St
Austin, TX 78701-4147 - Phone
- (787) 737-7806
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1037089 | TX | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 421059 | NY |
Addresses
Primary practice location
100 Colorado St
Austin, TX 78701-4147
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Other practice location 1
1111 Uptown Park Blvd Ste 2
Houston, TX 77056-3224
Phone (281) 719-9355
Other practice location 2
8041 Walnut Hill Ln Ste 870
Dallas, TX 75231-0954
Phone (214) 295-7712
Other practice location 3
102 5th Ave
New York, NY 10011-6902
Phone (347) 778-2542
Other practice location 4
16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1037089 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HP Medical PC | Current | Accepting new patients | |
| HP Medical PC | Current | Accepting new patients |
Locations
76 Manhattan Ave
#1
Brooklyn, NY 11206
Phone (347) 335-0305
496 DeKalb Ave
Brooklyn, NY 11205
Phone (718) 638-6278
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAEHAA
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1558638916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S DESPLAINES ST STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COLORADO ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787014147",
"telephone_number": "787-737-7806"
}
],
"practiceLocations": [
{
"address_1": "1111 Uptown Park Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770563224",
"country_code": "US",
"telephone_number": "281-719-9355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8041 Walnut Hill Ln Ste 870",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752310954",
"country_code": "US",
"telephone_number": "214-295-7712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100116902",
"country_code": "US",
"telephone_number": "347-778-2542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 E 40th St Fl 2",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100160113",
"country_code": "US",
"telephone_number": "646-751-7755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1037089",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "421059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.