Individual provider Active NPI

Nancy Gloria Flores, AUD

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1871118984
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA12439 Issued in AZ
Practice address
2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434
Phone
(602) 406-8811
Fax
(602) 409-8810
NPI assigned
Jun 15, 2020
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X DA12439 AZ Primary

Addresses

Primary practice location

2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434

Mailing address

2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434
Phone (602) 406-8811

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-2054

Other practice location 2

222 W Thomas Rd Ste 307
Phoenix, AZ 85013-4422
Phone (602) 702-9960

Other practice location 3

2910 N 3rd Ave # 330
Phoenix, AZ 85013-4434
Phone (602) 406-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310002905 AZ Practitioner - Qualified Audiologist 6103232459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
680 DHMG St Joseph's Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA12439AZMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Jun 15, 2021 Accepting new patients

Locations

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

124 W Thomas Rd
Ste 320
Phoenix, AZ 85013
Phone (602) 406-3560

222 W Thomas Rd
Ste 307
Phoenix, AZ 85013
Phone (602) 264-7111

2910 N 3rd Ave
#330
Phoenix, AZ 85013
Phone (602) 406-8811

2910 N 3rd Ave
Ste 330
Phoenix, AZ 85013
Phone (602) 406-6262

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

File 56765
Los Angeles, CA 90074

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1871118984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 330",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-8811",
            "fax_number": "602-409-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 330",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-8811",
            "fax_number": "602-409-8810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-773-2054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W Thomas Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134422",
            "country_code": "US",
            "telephone_number": "602-702-9960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 N 3rd Ave # 330",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134434",
            "country_code": "US",
            "telephone_number": "602-406-8811",
            "fax_number": "602-409-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "NANCY",
        "middle_name": "GLORIA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA12439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.