MRS. LARISSA FLORES (NPI# 1053844811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053844811 |
Entity Type | Individual |
Full Name | MRS. LARISSA FLORES |
Practice Address |
10815 W Mcdowell Rd Ste 305 Avondale AZ 85392-5016 |
Mailing Address |
3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 |
Practice Telephone | 6239363312 |
Practice Fax Number | 6239364248 |
Mailing Telephone | 6026333838 |
Mailing Fax Number | 6026333841 |
Enumeration Date | 2017-04-09 |
Last Update Date | 2019-06-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
AP9917 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | MEDICARE | Z201263 | 01 |
AZ | 257668 | 05 |
Street Address |
10815 W MCDOWELL RD STE 305 |
City | AVONDALE |
State | AZ |
Zip Code | 85392-5016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376543108 | Peter S Young | Internal Medicine | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2005-07-22 |
1033622295 | Kia Lambeth | Nurse Practitioner | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2017-11-09 |
1144384603 | Kamel M Sadek | Family Medicine | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2006-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
Find all providers in zip 85392 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811353865 | April Mcewan | Clinical Nurse Specialist | 10450 W Mcdowell Rd, Suite 101, Avondale, AZ 85392-4901 | 2016-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
1235581794 | Dr Judith Ochieng Fnp-bc LLC | Clinical Nurse Specialist | 1925 W Orange Grove Rd Ste 103, Tucson, AZ 85704-1150 | 2016-07-08 |
1598115388 | Jeff John Waknitz | Clinical Nurse Specialist | 14820 W Wethersfield Rd, Surprise, AZ 85379-5968 | 2016-06-13 |
1477998508 | Cheryl Ann Parker | Clinical Nurse Specialist | 2121 N Tanque Verde Loop Rd, Tucson, AZ 85749-8532 | 2013-05-02 |
1780945469 | Margot Veronica Wilson | Clinical Nurse Specialist | 1625 W Ina Rd Ste 123, Tucson, AZ 85704-1975 | 2012-05-30 |
1568746683 | Maura Lee Schoenle | Clinical Nurse Specialist | 10070 S Nogales Hwy, Tucson, AZ 85756-9209 | 2011-10-07 |
1114230893 | Innovative Health Care of Havasu LLC | Clinical Nurse Specialist | 297 Lake Havasu Ave South, Suite 200, Lake Havasu City, AZ 86403 | 2010-07-22 |
1174719397 | Patricia Kate Paradis | Clinical Nurse Specialist | 10046 N Metro Pkwy W, Suite 115, Phoenix, AZ 85051-1437 | 2007-09-20 |
1578096798 | Advanced Clinical Practitioners, LLC | Clinical Nurse Specialist | 20823 N Cave Creek Rd, Suite 103, Phoenix, AZ 85024-4468 | 2017-04-05 |
1093257172 | Stewart Lewis | Clinical Nurse Specialist | 9302 E 22nd St, Tucson, AZ 85710 | 2016-11-07 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.