Active NPI
Olivia Escamilla
- Registered Nurse
- Moundsville, WV
National Provider Identifier
1194418962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 110822
- Practice address
- 100 Teletech Dr Ste 1
Moundsville, WV 26041-2790 - Phone
- (304) 843-3379
- NPI assigned
- May 30, 2023
- 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 Nurse | 163W00000X | 110822 | WV | Primary |
Addresses
Primary practice location
100 Teletech Dr Ste 1
Moundsville, WV 26041-2790
Mailing address
100 Teletech Dr Ste 1
Moundsville, WV 26041-2790
Phone (304) 843-3379
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | olivia.escamilla1@wvumedicine.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 110822 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1194418962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TELETECH DR STE 1",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260412790",
"telephone_number": "304-843-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TELETECH DR STE 1",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260412790",
"telephone_number": "304-843-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCAMILLA",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "110822",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "olivia.escamilla1@wvumedicine.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Teletech Dr Ste 1",
"city": "Moundsville",
"state": "WV",
"country_code": "US",
"postal_code": "260412790",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.