Individual provider Active NPI

Courtney Flores, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1770216178
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022029445 Issued in TX
Practice address
13409 George Rd
San Antonio, TX 78230-3064
Phone
(210) 492-8922
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022029445 TX Primary

Addresses

Primary practice location

13409 George Rd
San Antonio, TX 78230-3064

Mailing address

13409 George Rd
San Antonio, TX 78230-3064
Phone (210) 492-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221201002318 TX Practitioner - Nurse Practitioner 9032587670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022029445TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Well Primary Care PC CurrentSince Mar 26, 2023 Accepting new patients
Hillside Primary Care PLLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Health by Design Medical Group PastSince Jul 10, 2022 Accepting new patients

Locations

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

2339 E Evans Rd
San Antonio, TX 78259

Organizations & group practices 3

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1770216178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13409 GEORGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303064",
            "telephone_number": "210-492-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13409 GEORGE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303064",
            "telephone_number": "210-492-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "COURTNEY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2022029445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.