Individual provider Active NPI

Carla Escobar, FNP-C

  • Family Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1730517038
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18505 Issued in SC
Practice address
5215 Ashley Phosphate Rd
North Charleston, SC 29418-2823
Phone
(866) 389-2727
NPI assigned
Oct 23, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18505 SC Primary

Addresses

Primary practice location

5215 Ashley Phosphate Rd
North Charleston, SC 29418-2823

Mailing address

5215 Ashley Phosphate Rd
North Charleston, SC 29418-2823
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324000082 SC Practitioner - Nurse Practitioner 5799916417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18505SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 6, 2014 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 20, 2023 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Jan 6, 2014 Accepting new patients

Locations

5215 Ashley Phosphate Rd
North Charleston, SC 29418
Phone (843) 767-4500

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 360-8112

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730517038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182823",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182823",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "CARLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.