Individual provider Active NPI

Antoinette Grace Flores, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1669140299
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
261176 Issued in AZ
Practice address
1860 N 95TH LN Ste 300
Phoenix, AZ 85037-5074
Phone
(480) 626-7584
Fax
(480) 210-0230
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 261176 AZ Primary
Primary Care Nurse Practitioner 363LP2300X 261176 AZ

Addresses

Primary practice location

1860 N 95TH LN Ste 300
Phoenix, AZ 85037-5074

Mailing address

1860 N 95TH LN Ste 300
Phoenix, AZ 85037-5074
Phone (480) 626-7584

Other practice location 1

36457 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7343
Phone (480) 626-7584

Other practice location 2

2046 W Riverview Auto Dr Ste 401
Mesa, AZ 85201-7597
Phone (480) 626-7584

Other practice location 3

1760 E Pecos Rd Ste 247
Gilbert, AZ 85295-3214
Phone (480) 626-7584

Other practice location 4

20950 N Tatum Blvd Ste 380
Phoenix, AZ 85050-4258
Phone (480) 626-7584

Other practice location 5

2355 E Camelback Rd Ste 625
Phoenix, AZ 85016-3458
Phone (480) 626-7584

Other practice location 6

1501 N Gilbert Rd Ste 206
Gilbert, AZ 85234-2394
Phone (480) 626-7584

Other practice location 7

4545 E Chandler Blvd Ste 308
Phoenix, AZ 85048-7646
Phone (480) 626-7584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211005000753 AZ Practitioner - Nurse Practitioner 9335547488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

Practice addresses (Care Compare)

1860 N 95TH LN
FL 3
Phoenix, AZ 85037-4324
Phone (480) 626-7584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261176AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Feb 1, 2024 Accepting new patients
4C Medical Group PLC Past Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 626-2024

2046 W Riverview Auto Dr
Ste 401
Mesa, AZ 85201

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

1860 N 95th Ln
Fl 3
Phoenix, AZ 85037

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

1860 N 95th Ln
Ste 300
Phoenix, AZ 85037

36457 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 494-6622

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1669140299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N 95TH LN STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375074",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N 95TH LN STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375074",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36457 N Gantzel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407343",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2046 W Riverview Auto Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017597",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Pecos Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953214",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20950 N Tatum Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504258",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 E Camelback Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163458",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Gilbert Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342394",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487646",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANTOINETTE",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "261176",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "261176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.