Active NPI
Manuel Escobar, NP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-115154
- Practice address
- 454 Taylor Rd
Montgomery, AL 36117-3563 - Phone
- (334) 613-9000
- Fax
- (334) 532-0056
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-115154 | AL | Primary |
Addresses
Primary practice location
454 Taylor Rd
Montgomery, AL 36117-3563
Mailing address
454 Taylor Rd
Montgomery, AL 36117-3563
Phone (334) 613-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-115154 | Other | AL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| Southern Orthopaedic Surgeons, LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients |
Locations
7449 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 747-4030
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
454 Taylor Rd
Montgomery, AL 36117
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
668 McQueen Smith Rd N
Prattville, AL 36066
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Orthopaedic Surgery Physician
- Montgomery, AL
- NPI 1861432239
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Durable Medical Equipment & Medical Supplies
- Montgomery, AL
- NPI 1669266599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023547833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 TAYLOR RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173563",
"telephone_number": "334-613-9000",
"fax_number": "334-532-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "MANUEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-115154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1-115154",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.