Individual provider Active NPI

Antoinette Grace Flores, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1669140299
Registry record updated Oct 28, 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
25560 W US Highway 85 Ste 3
Buckeye, AZ 85326-5283
Phone
(623) 252-4181
Fax
(623) 666-6791
NPI assigned
Aug 30, 2021
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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

25560 W US Highway 85 Ste 3
Buckeye, AZ 85326-5283

Mailing address

25560 W US Highway 85 Ste 3
Buckeye, AZ 85326-5283
Phone (623) 252-4181

Other practice location 1

6436 E Sweetwater Ave
Scottsdale, AZ 85254-4581
Phone (480) 998-2920

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) 507-7767

2046 W Riverview Auto Dr
Ste 401
Mesa, AZ 85201

1860 N 95th Ln
Fl 3
Phoenix, AZ 85037

1860 N 95th Ln
Ste 300
Phoenix, AZ 85037

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

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 581-8536

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1793145600000",
    "number": "1669140299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25560 W US HIGHWAY 85 STE 3",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265283",
            "telephone_number": "623-252-4181",
            "fax_number": "623-666-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25560 W US HIGHWAY 85 STE 3",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853265283",
            "telephone_number": "623-252-4181",
            "fax_number": "623-666-6791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6436 E Sweetwater Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852544581",
            "country_code": "US",
            "telephone_number": "480-998-2920",
            "fax_number": "480-998-2920",
            "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": "2026-10-28",
        "certification_date": "2026-10-28",
        "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 Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.