Active NPI
Rocio Elena Espinoza, M.D.
- Pediatrics Physician
- Tullahoma, TN
National Provider Identifier
1659459394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD0000031308
- Practice address
- 715 Kings Lane
Tullahoma, TN 37388 - Phone
- (931) 454-9411
- Fax
- (931) 454-2145
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0000031308 | TN | Primary |
Addresses
Primary practice location
715 Kings Lane
Tullahoma, TN 37388
Mailing address
P.O. Box 695
Tullahoma, TN 37388
Phone (931) 454-9411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4093146 | Medicaid | TN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000031308 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Pediatrics, LLC. | Past | Accepting new patients | |
| Christian Family Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Tullahoma, TN
- NPI 1932347556
-
- Family Medicine Physician
- Ripley, TN
- NPI 1043252620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659459394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 695",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "931-454-9411",
"fax_number": "931-454-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 KINGS LANE",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "931-454-9411",
"fax_number": "931-454-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOZA",
"first_name": "ROCIO",
"middle_name": "ELENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD0000031308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4093146",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tullahoma, TN
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.