MRS. KRISTEN E. FLACK AGNP
NPI 1144746140
Nurse Practitioner - Gerontology in Modesto, CA

Active since August 21, 2017
1540 FLORIDA AVE, MODESTO, CA 95350(209) 238-4800(209) 238-4890 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2017, Aug 21, 2017 (2 updates tracked since 2017).

About Mrs. Kristen E. Flack Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KRISTEN E. FLACK AGNP (NPI 1144746140) is an individual gerontology provider in Modesto, California, licensed in California (NP95007308) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1144746140
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. KRISTEN E. FLACKCredential: AGNP
Location Address1540 FLORIDA AVEModesto, CA 95350-4430
Mailing Address1910 Customer Care WayAtwater, CA 95301-5167 · (209) 384-6493
Fax(209) 238-4890
Sole ProprietorNo
Enumeration DateAugust 21, 2017
Last NPPES UpdateSeptember 15, 20172 updates tracked since enumeration
NPI 1144746140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · NP95007308
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95078988 (CA)
1540 FLORIDA AVE, Modesto, CA 95350

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1540 FLORIDA AVE, STE 100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE, # 100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE, #100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1540 FLORIDA AVE, STE 100
MODESTO, CA 95350
Internal Medicine
1540 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1540 FLORIDA AVE, SUITE 100
MODESTO, CA 95350
Registered Nurse
1540 FLORIDA AVE, SUITE 100
MODESTO, CA 95350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Flack's NPI number?

The NPI number for Kristen Flack is 1144746140. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Kristen Flack located?

Kristen Flack practices at 1540 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 238-4800.

What is Kristen Flack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kristen Flack was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.