Bianca Escamilla

Key facts

NPI

1457750606

Entity type

Individual (NPI type 1)

Primary specialty

Community Health Worker 172V00000X

Practice address

3986 N Oceana Dr
Hart, MI 49420-8358

Phone

(231) 902-8527

NPI assigned

Aug 13, 2014

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2014.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1457750606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 N OCEANA DR",
            "city": "HART",
            "state": "MI",
            "postal_code": "494208358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 N OCEANA DR",
            "city": "HART",
            "state": "MI",
            "postal_code": "494208358",
            "telephone_number": "231-902-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "BIANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

• Rebecca Davis, PTA
• Christina Delgado, LLBSW
• Laura Lynne Deruiter, RN,IBCLC
• Francine Jo Dodsworth, LPTA
• Janelle Donjon
• Family Tree Adult Foster Care, Inc.
• Valerie Fedewa, DC
• Kaitlyn Felt, OTR/L
• Kelly Foreman, OTA
• Annette Louise Fortino, LCSW ACSW CAC-II

All providers in Hart, MI · Community Health Worker in Michigan