Individual provider Active NPI

Jonathan Lee Escobedo, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1376068882
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134760 Issued in TX
Practice address
1909 E 38TH 1/2 St Ste C
Austin, TX 78723-5749
Phone
(737) 262-3374
Fax
(512) 391-9703
NPI assigned
Aug 4, 2017
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134760 TX Primary

Addresses

Primary practice location

1909 E 38TH 1/2 St Ste C
Austin, TX 78723-5749

Mailing address

806 E 13TH St
Austin, TX 78702-1013
Phone (512) 914-2738

Other identifiers 1

IdentifierTypeStateIssuer
AP134760OtherTXBON- APRN FNP-BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129000326 TX Practitioner - Nurse Practitioner 3678002144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 25, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 25, 2024 Accepting new patients
Care de Luxe CurrentSince Feb 13, 2022 Accepting new patients
Clark-Brown Family Care Associates, PA PastSince Oct 9, 2016 Accepting new patients

Locations

1033 La Posada Dr
Ste 210
Austin, TX 78752
Phone (512) 391-9700

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jonathan.escobedo.1@8042.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1376068882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E 13TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021013",
            "telephone_number": "512-914-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E 38TH 1/2 ST STE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235749",
            "telephone_number": "737-262-3374",
            "fax_number": "512-391-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BON- APRN FNP-BC",
            "identifier": "AP134760",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.