Active NPI
Gina Hutchins Estalella
- Administrator Registered Nurse
- Hollywood, FL
National Provider Identifier
1629858360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 9487332
- Practice address
- 7605 Davie Road Ext
Hollywood, FL 33024-2623 - Phone
- (754) 423-9476
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 9487332 | FL | Primary |
Addresses
Primary practice location
7605 Davie Road Ext
Hollywood, FL 33024-2623
Mailing address
7605 Davie Road Ext
Hollywood, FL 33024-2623
Phone (754) 423-9476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477333110 | Other | FL | NURSE REGISTRY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9487332 | FL | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Call Nursing Services LLC | Administrator | Current | Accepting new patients |
Locations
7605 Davie Road Ext
Hollywood, FL 33024
Phone (754) 423-9476
Organizations & group practices 1
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": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1629858360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7605 DAVIE ROAD EXT",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242623",
"telephone_number": "754-423-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7605 DAVIE ROAD EXT",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242623",
"telephone_number": "754-423-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINS ESTALELLA",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-12-04",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "9487332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE REGISTRY",
"identifier": "1477333110",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.