Active NPI
Valencia Carol Fleming, FNP
- Nurse Practitioner
- Cypress, CA
National Provider Identifier
1629023932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN 91955
- Practice address
- 5757 Plaza Drvie
Cypress, CA 90630-5000 - Phone
- (770) 324-3692
- NPI assigned
- May 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN 91955 | TN | Primary |
Addresses
Primary practice location
5757 Plaza Drvie
Cypress, CA 90630-5000
Mailing address
518 Cobblestone Creek CT
Mableton, GA 30126-2657
Phone (901) 828-2077
Other practice location 1
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (770) 324-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000335 | TN | Practitioner - Nurse Practitioner | 5597740035 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6667 | TN | MD | Occupational Therapist |
| RN 91955 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1629023932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 COBBLESTONE CREEK CT",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262657",
"telephone_number": "901-828-2077",
"fax_number": "770-970-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 PLAZA DRVIE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305000",
"telephone_number": "770-324-3692"
}
],
"practiceLocations": [
{
"address_1": "9900 Bren Rd E",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553439664",
"country_code": "US",
"telephone_number": "770-324-3692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "VALENCIA",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2021-05-24",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "RN 91955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.