Individual provider Active NPI

Kristy R. Flores, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1962965764
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78449-121 Issued in KS
Practice address
313 S Market St
Wichita, KS 67202-3805
Phone
(316) 265-9441
Fax
(316) 265-6066
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-78449-121 KS Primary

Addresses

Primary practice location

313 S Market St
Wichita, KS 67202-3805

Mailing address

313 S Market St
Wichita, KS 67202-3805
Phone (316) 265-9441

Other practice location 1

2330 N Sandplum
Wichita, KS 67205-6720
Phone (316) 734-3462

Other identifiers 1

IdentifierTypeStateIssuer
53-78449-121OtherKSADVANCED PRACTICE REGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78449-121KSMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1962965764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S MARKET ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023805",
            "telephone_number": "316-265-9441",
            "fax_number": "316-265-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 N Sandplum",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672056720",
            "country_code": "US",
            "telephone_number": "316-734-3462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KRISTY",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78449-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE LICENSE",
            "identifier": "53-78449-121",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.