Active NPI
Alexandra Anne Esboldt
- Pediatric Nurse Practitioner
- Appleton, WI
National Provider Identifier
1619788700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 16380-33
- Practice address
- 2575 E Evergreen Dr
Appleton, WI 54913-8910 - Phone
- (920) 969-7930
- Fax
- (920) 969-7975
- NPI assigned
- Jan 16, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 16380-33 | WI | Primary |
Addresses
Primary practice location
2575 E Evergreen Dr
Appleton, WI 54913-8910
Mailing address
3757 S 56TH St
Greenfield, WI 53220-2046
Phone (320) 905-6007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16380-33 | WI | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1619788700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757 S 56TH ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532202046",
"telephone_number": "320-905-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 E EVERGREEN DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138910",
"telephone_number": "920-969-7930",
"fax_number": "920-969-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESBOLDT",
"first_name": "ALEXANDRA",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-16",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "16380-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.