Individual provider Active NPI

Ingrid Escobar, ARNP

  • Gerontology Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1104377787
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9330701 Issued in FL
Practice address
4302 Alton Rd Ste 650
Miami Beach, FL 33140-2877
Phone
(305) 674-2543
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9330701 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 650
Miami Beach, FL 33140-2877

Mailing address

4302 Alton Rd Ste 650
Miami Beach, FL 33140-2877
Phone (305) 674-2543

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address iescobar42768@direct.msmc.com Direct
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/fhir/r4/ Other

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9330701FLMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: iescobar42768@direct.msmc.com
  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/fhir/r4/

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1104377787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 650",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402877",
            "telephone_number": "305-674-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 650",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402877",
            "telephone_number": "305-674-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "INGRID",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9330701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iescobar42768@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Dirrect Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "4302 Alton Rd Ste 650",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/fhir/r4/",
            "affiliation": "N",
            "endpointDescription": "fhir api",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fhir api",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "4302 Alton Rd Ste 650",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.