Active NPI
Sophia H Escobar
- Audiologist
- Brandon, FL
National Provider Identifier
1184868085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1558
- Practice address
- 1139 Nikki View Dr
Brandon, FL 33511-4879 - Phone
- (813) 685-7761
- NPI assigned
- Apr 23, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AZ570 | FL | |
| Audiologist | 231H00000X | AY1558 | FL | Primary |
Addresses
Primary practice location
1139 Nikki View Dr
Brandon, FL 33511-4879
Mailing address
1139 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 685-7761
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1558 | Other | FL | AY1558 |
| AZ570 | Other | AZ570 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1558 | FL | MD | Audiologist |
| AZ570 | FL | MD | Audiologist |
Interoperability endpoints
- soescobar@entaaf.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1184868085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-685-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 NIKKI VIEW DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-685-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBAR",
"first_name": "SOPHIA",
"middle_name": "H",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-23",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AZ570",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AY1558",
"identifier": "AY1558",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ570",
"identifier": "AZ570",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.