Active NPI
Betty Anne Esquibel, NP
- Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1649260340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 49253
- Practice address
- 900 Indiana Ave
Suite C
Pueblo, CO 81004-3766 - Phone
- (719) 561-2289
- Fax
- (719) 565-1370
- NPI assigned
- Oct 24, 2005
- 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 Practitioner | 363L00000X | 49253 | CO | Primary |
Addresses
Primary practice location
900 Indiana Ave
Suite C
Pueblo, CO 81004-3766
Mailing address
900 Indiana Ave
Suite C
Pueblo, CO 81004-3766
Phone (719) 561-2289
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine of Pueblo PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1912995929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649260340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 INDIANA AVE",
"address_2": "SUITE C",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043766",
"telephone_number": "719-561-2289",
"fax_number": "719-565-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 INDIANA AVE",
"address_2": "SUITE C",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043766",
"telephone_number": "719-561-2289",
"fax_number": "719-565-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUIBEL",
"first_name": "BETTY",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "49253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.