Marlenne Adair Escobar-Mendoza

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1705 South San Francisco Street
Flagstaff, AZ 86001

Phone

(928) 523-5353

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1427658756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860020603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SOUTH SAN FRANCISCO STREET",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-523-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR-MENDOZA",
        "first_name": "MARLENNE",
        "middle_name": "ADAIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Jene Epperson, AG-ACNP
• Kenneth A Epstein, MD
• Equine Educational Experiences
• Jennifer Ernst, M.A. CCC-SLP
• Erin Ann Erwin-Mahlios, ED. D.
• Julia Beth Eskuchen, M.D.
• German Espino, DMD
• Asha D Esprit
• Shannon Estes
• Susan F Etsitty, PHARMD

• Athletic Trainer in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.