Active NPI
Iliana Escobedo
- Family Nurse Practitioner
- Laredo, TX
National Provider Identifier
1023905288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1196374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 824299 | TX | MD | Registered Nurse |
| AP1196374 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Health Clinic | Current | 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.
-
- Internal Medicine Physician
- Laredo, TX
- NPI 1225584113
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.