Individual provider Active NPI

Katherine Elizabeth Flores, ARNP/CNM

  • Nurse Practitioner
  • Walla Walla, WA
National Provider Identifier
1952014607
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61363648 Issued in WA
Practice address
228 W Birch St
Walla Walla, WA 99362-2935
Phone
(866) 904-7721
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 AP61363648 WA Primary

Addresses

Primary practice location

228 W Birch St
Walla Walla, WA 99362-2935

Mailing address

245 Champagne Way
Walla Walla, WA 99362-3383
Phone (509) 876-6870

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
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61363648WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Washington & North Idaho Nurse Practitioner Past Accepting new patients
Planned Parenthood of Greater Washington & North Idaho Past Accepting new patients
Planned Parenthood of Greater Washington & North Idaho Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katherine.flores.1@13077.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1952014607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHAMPAGNE WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623383",
            "telephone_number": "509-876-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W BIRCH ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622935",
            "telephone_number": "866-904-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "ARNP/CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61363648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.