Jacqueline Michelle Escobar-Marshall, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349001 Issued in NY

Practice address

1419 Jesup Ave Apt 6G
Bronx, NY 10452-1966

Phone

(917) 536-1041

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Joseph H Escobar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jacqueline.escobar-marshall.1@24989.direct.athenahealth.com

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1932860285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 JESUP AVE APT 6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521966",
            "telephone_number": "917-536-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 JESUP AVE APT 6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521966",
            "telephone_number": "917-536-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR-MARSHALL",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "ESCOBAR",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Antoine Ambroise Escarment, RPH
• Erin Eschbach, MD
• Eschen Prosthetic and Orthotic Laboratories, Inc.
• Kiriam Escobar Lee, MD
• Juan Alvaro Escobar Quintanilla, NP
• Destiny Escobar
• Sara Escobar
• Liza Victoria Seno Escobedo, M.D.
• Simone Escoffery-Dick, LPN
• Jesus Antonio Escorcia, LMSW

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.