Active NPI
Jackie Julissa Flores
- Registered Nurse
- Sparks, NV
National Provider Identifier
1730095068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 892879
- Practice address
- 11151 Diamond Stream Dr
Sparks, NV 89441-5239 - Phone
- (775) 348-7300
- NPI assigned
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 892879 | NV | Primary |
Addresses
Primary practice location
11151 Diamond Stream Dr
Sparks, NV 89441-5239
Mailing address
10345 Professional Cir Ste 125
Reno, NV 89521-3100
Phone (775) 348-7300
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": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1730095068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10345 PROFESSIONAL CIR STE 125",
"city": "RENO",
"state": "NV",
"postal_code": "895213100",
"telephone_number": "775-348-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11151 DIAMOND STREAM DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894415239",
"telephone_number": "775-348-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JACKIE",
"middle_name": "JULISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "892879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.