Samantha N Flores

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

1001 Arbor Dr
South Sioux City, NE 68776-2472

Phone

(402) 494-1446

NPI assigned

Apr 29, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• So Sioux City Community Schools

  • Local Education Agency (LEA)
  • South Sioux City, NE
  • NPI 1821759507
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1750026209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 39TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ARBOR DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762472",
            "telephone_number": "402-494-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SAMANTHA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ssccardinals.org",
            "affiliation": "Y",
            "endpointDescription": "school email",
            "affiliationName": "So Sioux City Community Schools",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "School",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Student Info Medicaid",
            "address_1": "1001 Arbor Dr",
            "city": "South Sioux City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687762472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Faiso Abdi Farah
• Diane Marie Farrell-Sabaliauskas
• Stacy Jo Ferris, CDCES
• Janet Rose Fett, O.D.
• Roger Fletes
• Tara Flynn
• Kevin J Folchert, MD
• Riley Funk
• Jose Luis Galvan
• Raylee Gamble

• Technician in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.