Camille Nicolle Estabillo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60890948 Issued in WA

Practice address

4340 Borgen Blvd
Gig Harbor, WA 98332-7000

Phone

(253) 313-0749

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1275000457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 OLYMPUS WAY APT K302",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328786",
            "telephone_number": "503-841-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 BORGEN BLVD",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327000",
            "telephone_number": "253-313-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTABILLO",
        "first_name": "CAMILLE NICOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60890948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W Luria and Catherine C Luria PTN (Harbor Family Health Associates)
• Spencer Erwin
• Esprit Corp
• Essential Mental Health L.L.C.
• Gillian G Esser, M.D.
• Mikayla Esteb
• Caitlin Estrada
• Nolan Craig Ethridge, D.C.
• Sarahlynn Meliai Etta, LMP
• James Eustace

• Speech-Language Pathologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.