Active NPI
Monica Esquivel, R.D.
- Registered Dietitian
- Plymouth, IN
National Provider Identifier
1033430681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 995814
- Practice address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Phone
- (574) 936-3181
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 995814 | CA | Primary |
Addresses
Primary practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Mailing address
217 Wildemere Dr
South Bend, IN 46615-3124
Phone (571) 276-5569
Other names 1
- Monica Kazlausky
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 995814 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335830400000",
"number": "1033430681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WILDEMERE DR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466153124",
"telephone_number": "571-276-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 LAKE AVE",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465639366",
"telephone_number": "574-936-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIVEL",
"first_name": "MONICA",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2012-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "995814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "KAZLAUSKY",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.