Escalera Health, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OTC9032 Issued in AZ

Legal business name

ESCALERA HEALTH, LLC

Practice address

2224 N Craycroft Rd Ste 100
Tucson, AZ 85712-2811

Phone

(520) 209-1919

Fax

(520) 207-6200

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Edward J Hudson

Title

Chief Financial Officer

Phone

(520) 322-6274

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Escalera Health LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1487146171

  O20180823002099

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo-Ann Marcus

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1437630555
  NPD
• Christine Parks, NP

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1922480706
  NPD
• Emily Ichikawa, FNP-C

  • Family Nurse Practitioner
  • Palo Alto, CA
  • NPI 1255988234
  NPD
• Brittany Rychetsky, LCSW

  • Clinical Social Worker
  • Cortaro, AZ
  • NPI 1942924204
  NPD (past)
• Dara Ulibarri, LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1962885160
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1962982397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NORTH COUNTRY CLUB ROAD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-509-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 N CRAYCROFT RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122811",
            "telephone_number": "520-209-1919",
            "fax_number": "520-207-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Tucson Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857163406",
            "country_code": "US",
            "telephone_number": "520-326-6845",
            "fax_number": "520-476-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6303 E Tanque Verde Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153859",
            "country_code": "US",
            "telephone_number": "520-896-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESCALERA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-322-6274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "OTC9032",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409263",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.escalerahealth.com",
            "affiliation": "N",
            "address_1": "2224 N Craycroft Rd Ste 100",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857122811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Richelle Escalante, SLPA
• Carlos Victor Escalante, MD
• Jaime Mario Escalante, CCP
• Michelle Lynn Escalante
• Escalera Health LLC
• Yahaira Escarcega Ramirez
• Amy Rubidia Escobar, RBT
• Catrina Monique Escobar, LAC
• Meeghan Escobar, FNP-C
• Nydia Escobar, RBT

• Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.