Individual provider Active NPI

Bernadette Esquibel, AGNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1831569383
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8178 Issued in AZ
Practice address
8459 N Cantora Way
Tucson, AZ 85743-1415
Phone
(520) 250-2669
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8178 AZ Primary
Adult Health Nurse Practitioner 363LA2200X AP8178 AZ
Gerontology Nurse Practitioner 363LG0600X AP8178 AZ

Addresses

Primary practice location

8459 N Cantora Way
Tucson, AZ 85743-1415

Mailing address

8459 N Cantora Way
Tucson, AZ 85743-1415
Phone (520) 250-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160210000558 AZ Practitioner - Nurse Practitioner 8022312172 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8178AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Dec 14, 2015 Accepting new patients
Jarvis Tzeng DO P a CurrentSince Jan 1, 2022 Accepting new patients
Jeffrey Monash, M.D.P.C. CurrentSince Jan 1, 2023 Accepting new patients
Az Skin Sub LLC Past Accepting new patients

Locations

350 E La Canada Blvd
Avondale, AZ 85323
Phone (540) 818-5752

161 W Rodeo Rd
Casa Grande, AZ 85122
Phone (520) 421-4960

2211 E Southern Ave
Phoenix, AZ 85040
Phone (602) 305-7134

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

5750 E Highway 90
Ste 375
Sierra Vista, AZ 85635
Phone (520) 263-3500

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

3925 E Fort Lowell Rd
Ste 104
Tucson, AZ 85712
Phone (520) 319-6000

6053 E Grant Rd
Ste B
Tucson, AZ 85712
Phone (520) 319-6000

428 Childers St
Pensacola, FL 32534
Phone (540) 818-5752

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": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1831569383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8459 N CANTORA WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431415",
            "telephone_number": "520-250-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8459 N CANTORA WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431415",
            "telephone_number": "520-250-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "BERNADETTE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8178",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8178",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP8178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.