Individual provider Active NPI

Iliana Escobedo

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1023905288
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1196374 Issued in TX
Practice address
1519 E Bustamante St Ste B
Laredo, TX 78041-5305
Phone
(956) 568-3009
Fax
(956) 568-3048
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 824299 TX
Family Nurse Practitioner 363LF0000X AP1196374 TX Primary

Addresses

Primary practice location

1519 E Bustamante St Ste B
Laredo, TX 78041-5305

Mailing address

1504 Centeno LN
Rio Bravo, TX 78046-7819
Phone (956) 229-5456

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
824299TXMDRegistered Nurse
AP1196374TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Health Clinic CurrentSince Sep 3, 2025 Accepting new patients

Locations

1519 E Bustamante St
#B
Laredo, TX 78041
Phone (956) 568-3009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1023905288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CENTENO LN",
            "city": "RIO BRAVO",
            "state": "TX",
            "postal_code": "780467819",
            "telephone_number": "956-229-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E BUSTAMANTE ST STE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415305",
            "telephone_number": "956-568-3009",
            "fax_number": "956-568-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "ILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "824299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1196374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.