Individual provider Active NPI

Stephanie M Estala, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396758934
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
651767 Issued in TX
Practice address
1400 Smith St
RM 03177
Houston, TX 77002-7327
Phone
(713) 372-5923
Fax
(713) 372-5941
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 651767 TX Primary

Addresses

Primary practice location

1400 Smith St
RM 03177
Houston, TX 77002-7327

Mailing address

1400 Smith St
RM 03177
Houston, TX 77002-7327
Phone (713) 372-5923

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
651767TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Advanced Nurse Practioners PastSince May 5, 2012 Accepting new patients
University of Texas Health Science Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1396758934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SMITH ST",
            "address_2": "RM 03177",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770027327",
            "telephone_number": "713-372-5923",
            "fax_number": "713-372-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SMITH ST",
            "address_2": "RM 03177",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770027327",
            "telephone_number": "713-372-5923",
            "fax_number": "713-372-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTALA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "651767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.