NPIMap

Individual provider Active NPI

Freddy F Flores Ferreras, BA

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1811354434
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019059 Issued in FL
Practice address
4545 Castaway Dr Apt 3
Tampa, FL 33615-6317
Phone
(484) 955-0216
NPI assigned
Jan 27, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X FL
Family Nurse Practitioner 363LF0000X 11019059 FL Primary

Addresses

Primary practice location

4545 Castaway Dr Apt 3
Tampa, FL 33615-6317

Mailing address

4545 Castaway Dr Apt 3
Tampa, FL 33615-6317
Phone (484) 955-0216

Other practice location 1

19 E Elizabeth Ave
Bethlehem, PA 18018-6520
Phone (610) 865-1699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000138 PA Practitioner - Nurse Practitioner 7214303247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sotomayor Medical Practice PCGroup PAC ID 1254504202, 3 clinicians

Practice addresses (Care Compare)

1220 Centre Ave
Reading, PA 19601-1458
Phone (610) 898-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019059FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sotomayor Medical Practice, P.C. CurrentSince Mar 18, 2024 Accepting new patients
Avicenna Physician Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Vital Care Family Practice P.C. CurrentSince Sep 8, 2025 Accepting new patients
LBH Med Group LLC PastSince Oct 12, 2022 Accepting new patients

Locations

5148 Hamilton Blvd
Allentown, PA 18106
Phone (610) 515-9994

1220 Centre Ave
Reading, PA 19601
Phone (484) 987-2738

Interoperability endpoints

  • Direct secure messaging: freddy.flores@443411168821252.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/15069/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811354434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CASTAWAY DR APT 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336156317",
            "telephone_number": "484-955-0216",
            "fax_number": "610-419-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CASTAWAY DR APT 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336156317",
            "telephone_number": "484-955-0216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180186520",
            "country_code": "US",
            "telephone_number": "610-865-1699",
            "fax_number": "610-419-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES FERRERAS",
        "first_name": "FREDDY",
        "middle_name": "F",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.