Individual provider Active NPI

Debra Esch, MS, LP

  • Specialist
  • Rochester, MN
National Provider Identifier
1922009117
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LP3165 Issued in MN
Practice address
421 1St Ave SW
Suite 200E
Rochester, MN 55902-3383
Phone
(507) 289-5110
Fax
(507) 281-5335
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LP3165 MN Primary

Addresses

Primary practice location

421 1St Ave SW
Suite 200E
Rochester, MN 55902-3383

Mailing address

421 1St Ave SW
Suite 200E
Rochester, MN 55902-3383
Phone (507) 289-5110

Other identifiers 1

IdentifierTypeStateIssuer
584223900MedicaidMN

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LP3165MNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1922009117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 1ST AVE SW",
            "address_2": "SUITE 200E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023383",
            "telephone_number": "507-289-5110",
            "fax_number": "507-281-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 1ST AVE SW",
            "address_2": "SUITE 200E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023383",
            "telephone_number": "507-289-5110",
            "fax_number": "507-281-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCH",
        "first_name": "DEBRA",
        "credential": "MS, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "LP3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584223900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.