Active NPI
Angelica Esquivel Cruz, CNA
- Nurse's Aide
- Medford, OR
National Provider Identifier
1407360225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 140 S Holly St
Medford, OR 97501-3113 - Phone
- (541) 774-8201
- Fax
- (541) 774-7979
- NPI assigned
- Dec 1, 2017
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
140 S Holly St
Medford, OR 97501-3113
Mailing address
140 S Holly St
Medford, OR 97501-3113
Phone (541) 774-8201
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1407360225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S HOLLY ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013113",
"telephone_number": "541-774-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S HOLLY ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013113",
"telephone_number": "541-774-8201",
"fax_number": "541-774-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIVEL CRUZ",
"first_name": "ANGELICA",
"name_prefix": "Miss",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.