Individual provider Active NPI

Amy Suzan Esqueda, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1659573673
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
583612 TX Issued in TX
Practice address
4310 James Casey St
Ste. 1a
Austin, TX 78745-1251
Phone
(512) 445-2833
Fax
(512) 445-4121
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 583612 TX TX Primary

Addresses

Primary practice location

4310 James Casey St
Ste. 1a
Austin, TX 78745-1251

Mailing address

4310 James Casey St
Ste. 1a
Austin, TX 78745-1251
Phone (512) 445-2833

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

State licenses

LicenseStateTypeSpecialty
583612 TXTXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1659573673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "address_2": "STE. 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-445-2833",
            "fax_number": "512-445-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "address_2": "STE. 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451251",
            "telephone_number": "512-445-2833",
            "fax_number": "512-445-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUEDA",
        "first_name": "AMY",
        "middle_name": "SUZAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "583612 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.