Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700274321 Individual Practitioner Female Practitioner

Flora Issanda Stowater , NP

Nurse Practitioner • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Flora Issanda Stowater, NP is a registered healthcare professional specializing in Nurse Practitioner in Mesa, AZ. Practice services are available at 1855 S COUNTRY CLUB DR STE 111-130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1855 S Country Club Dr Ste 111-130

Mesa, AZ 852106037

Telephone 4808404777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
83 Specialists

Practicing in Mesa, AZ (1459 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ AP11721

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ AP11721

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License AZ AP11721

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1700274321 (AZ)
Commercial Insurance / Payer ID Irs
47-1340390 (AZ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 05, 2023

Registered at 1855 S COUNTRY CLUB DR STE 111-130, MESA, AZ 852106037 (Tel: 4808404777)

📍
Updated Business Mailing Address October 05, 2023

Registered at PO BOX 687, LAVEEN, AZ 853390687 (Tel: 4808404777)

👤
Provider Name / Credentials Updated October 05, 2023

Recorded as FLORA ISSANDA STOWATER, NP

📍
Updated Practice Location December 04, 2020

Registered at 9014 S CENTRAL AVE, PHOENIX, AZ 850428304 (Tel: 6022307373)

📍
Updated Business Mailing Address December 04, 2020

Registered at 3620 N 3RD ST, PHOENIX, AZ 850122020 (Tel: 6022817300)

👤
Provider Name / Credentials Updated December 04, 2020

Recorded as FLORA ISSANDA STOWATER, PSYCH NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2018

Nurse Practitioner (License #AP11721 in AZ)

NPI Profile Active May 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2015

Registered at 6512 S 5TH WAY, PHOENIX, AZ 850424260 (Tel: 4808404777)

📍
Updated Business Mailing Address May 21, 2015

Registered at 6512 S 5TH WAY, PHOENIX, AZ 850424260 (Tel: 4808404777)

👤
Provider Name / Credentials Updated May 21, 2015

Recorded as FLORA ISSANDA STOWATER, BSN/RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2015

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700274321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: October 05, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 687

Laveen, AZ 853390687

Phone: 4808404777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.