Individual provider Active NPI

Jacqueline Flores, NP

  • Women's Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1558638916
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1037089 Issued in TX
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

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000166 NY Practitioner - Nurse Practitioner 9739344185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1037089TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HP Medical PC CurrentSince Sep 1, 2025 Accepting new patients
HP Medical PC CurrentSince Sep 1, 2025 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

  • FHIR API: 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

Verify at the official NPI Registry.