Individual provider Active NPI

Tina Flores, ARNP

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1629515531
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60726500 Issued in WA
Practice address
1211 N 16TH Ave
Yakima, WA 98902-1347
Phone
(509) 454-8888
Fax
(509) 453-0061
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 AP60726500 WA Primary

Addresses

Primary practice location

1211 N 16TH Ave
Yakima, WA 98902-1347

Mailing address

1211 N 16TH Ave
Yakima, WA 98902-1347
Phone (509) 454-8888

Other identifiers 1

IdentifierTypeStateIssuer
AP60726500OtherWAWA AP LICENSE

Other names 1

  • Tina Austin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20170227002033 WA Practitioner - Nurse Practitioner 1052695657 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60726500WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Jan 1, 2019 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 1, 2019 Accepting new patients
Flo Infusions, LLC Current Accepting new patients
Kittitas Valley Urgent Care PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

702 E Mountain View Ave
#1
Ellensburg, WA 98926
Phone (509) 968-5273

17 E Valley Mall Blvd
Ste 2B
Union Gap, WA 98903
Phone (509) 367-8733

1006 S 64th Ave
Ste 100
Yakima, WA 98908
Phone (509) 955-9248

111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Organizations & group practices 4

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1629515531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "TINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60726500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA AP LICENSE",
            "identifier": "AP60726500",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "AUSTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.