Individual provider Active NPI

Jackie Lee Escamilla, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1437635778
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137966 Issued in TX
Practice address
6717 Everhart Rd Apt 3304
Corpus Christi, TX 78413-2369
Phone
(361) 290-9069
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 AP137966 TX Primary

Addresses

Primary practice location

6717 Everhart Rd Apt 3304
Corpus Christi, TX 78413-2369

Mailing address

2502 Morgan Ave
Corpus Christi, TX 78405-1807
Phone (361) 888-6782

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
I20190531001577 TX Practitioner - Nurse Practitioner 7810220167 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alma S. Rigonan, MD, PA CurrentSince May 9, 2019 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients

Locations

3314 S Alameda St
Corpus Christi, TX 78411
Phone (361) 854-7000

2502 Morgan Ave
Corpus Christi, TX 78405
Phone (361) 888-6782

3318 S Alameda St
Corpus Christi, TX 78411
Phone (361) 854-7000

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1437635778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051807",
            "telephone_number": "361-888-6782",
            "fax_number": "361-888-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 EVERHART RD APT 3304",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132369",
            "telephone_number": "361-290-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "JACKIE",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.