Individual provider Active NPI

Gina Hutchins Estalella

  • Administrator Registered Nurse
  • Hollywood, FL
National Provider Identifier
1629858360
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
9487332 Issued in FL
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

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1477333110OtherFLNURSE 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

LicenseStateTypeSpecialty
9487332FLMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Nursing Services LLC Administrator CurrentSince Oct 8, 2023 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.

Verify at the official NPI Registry.