Esmeralda Martinez Etudor, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

242856 Issued in AZ

Practice address

201 Park Ave
Prescott, AZ 86303-3719

Phone

(928) 717-3249

Fax

(928) 717-3248

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1366179111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 PORTER CREEK DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018133",
            "telephone_number": "956-243-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033719",
            "telephone_number": "928-717-3249",
            "fax_number": "928-717-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETUDOR",
        "first_name": "ESMERALDA",
        "middle_name": "MARTINEZ",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "242856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan V. Espinosa Morazan, M.D.
• Kelee G Esquivel, PHARMD
• Yolanda Esquivel, OTR
• Essential Care Family Medicine, P.C.
• Roman Estrada
• Utibe Joshua Etudor, NP
• Evolving Healthcare PLC
• Exceptional Health Care Prescott LLC
• Exceptional Physicians Group Prescott Hospital PLLC
• Katherine Eyer, CF-SLP

• Registered Nurse in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.