Active NPI
Michael J Flores
- Case Manager/Care Coordinator
- Wenatchee, WA
National Provider Identifier
1629591144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 145 S Worthen St
Wenatchee, WA 98801-3081 - Phone
- (509) 662-6761
- NPI assigned
- Jul 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
145 S Worthen St
Wenatchee, WA 98801-3081
Mailing address
145 S Worthen St
Wenatchee, WA 98801-3081
Phone (509) 662-6761
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60768662 | Medicaid | WA | |
| 60768662 | Other | WA | MEDICARE NSC |
| 60768662 | Other | WA | MEDICARE UPIN |
| 60768662 | Other | WA | MEDICARE OSCAR/ CERTIFICATIION |
| 60768662 | Other | WA | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1629591144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013081",
"telephone_number": "509-662-6761",
"fax_number": "509-662-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S WORTHEN ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013081",
"telephone_number": "509-662-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MICHAEL",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-18",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60768662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "60768662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "60768662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OSCAR/ CERTIFICATIION",
"identifier": "60768662",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "60768662",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.