Individual provider Active NPI

Josie Malinda Escobedo

  • Licensed Vocational Nurse
  • Cisco, TX
National Provider Identifier
1306347687
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
206698 Issued in TX
Practice address
207 W 17TH St
Cisco, TX 76437-4304
Phone
(325) 669-8285
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 206698 TX Primary

Addresses

Primary practice location

207 W 17TH St
Cisco, TX 76437-4304

Mailing address

207 W 17TH St
Cisco, TX 76437-4304
Phone (325) 669-8285

Other names 1

  • Josephine Malinda Escobedo Other name

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

LicenseStateTypeSpecialty
206698TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1306347687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 17TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764374304",
            "telephone_number": "325-669-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 17TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764374304",
            "telephone_number": "325-669-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JOSIE",
        "middle_name": "MALINDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "206698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "ESCOBEDO",
            "middle_name": "MALINDA",
            "credential": "JOSEPHINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.