John Gallo Estabillo, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1021152 Issued in TX

Practice address

5201 Highway 6
Missouri City, TX 77459-4379

Phone

(832) 589-0751

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1568127389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594379",
            "telephone_number": "832-589-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594379",
            "telephone_number": "832-589-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTABILLO",
        "first_name": "JOHN GALLO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.