MRS. EDSEL ESTABILLO (NPI# 1174158604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174158604 |
| Entity Type | Individual |
| Full Name | MRS. EDSEL ESTABILLO |
| Other Name | MRS. EDSEL NOVAL ESTABILLO |
| Credential | MSN,APRN,FNP-C,CEN |
| Practice Address |
104 7th St Bay City TX 77414-4853 |
| Mailing Address |
22327 Sheldonwood Ct Katy TX 77449-5387 |
| Practice Telephone | 9792456383 |
| Mailing Telephone | 7328143009 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP145173 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 7TH ST |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027669 | George P Hanna | Internal Medicine | 104 7th St, Bay City, TX 77414-4853 | 2005-07-18 |
| 1992273569 | Nancy Kaye Johnson | Physical Medicine & Rehabilitation | 104 7th St, Bay City, TX 77414-4853 | 2018-11-13 |
| 1063907442 | Leah Maxine Ayers | Nurse Practitioner | 104 7th St, Bay City, TX 77414 | 2018-06-27 |
| 1053844555 | Faraz Syed Saifi | Emergency Medicine | 104 7th St, Bay City, TX 77414-4853 | 2017-04-11 |
| 1891160958 | Josie Flores Garza | Nurse Practitioner | 104 7th St, Bay City, TX 77414-4853 | 2015-12-01 |
| 1760855449 | Open Vista Emergency Physicians, Pllc | Physician Assistant | 104 7th St, Bay City, TX 77414-4853 | 2015-11-04 |
| 1932570710 | Libra Emergency Physicians, Pllc | Physician Assistant | 104 7th St, Bay City, TX 77414-4853 | 2015-10-19 |
| 1356760656 | Steven Joshua Kass | Pediatrics | 104 7th St, Bay City, TX 77414-4853 | 2014-04-15 |
| 1548508138 | Texas Em I Medical Services Pa | Physician Assistant | 104 7th St, Bay City, TX 77414-4853 | 2013-01-17 |
| 1144567835 | Christopher Riddle | Nurse Practitioner | 104 7th St, Bay City, TX 77414-4853 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1194151621 | Tillman Moody Daniel Jr. | General Practice | 2721 Oak Dr., Bay City, TX 77414 | 2013-09-16 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380352 | Belma H Cruz | Nurse Practitioner | 1820 Sunset Ave, Bay City, TX 77414-4655 | 2020-09-10 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1023592516 | Jennifer Dinsmoore | Nurse Practitioner | 4 Columbus Ave Ste 140, Bay City, MI 48708-6469 | 2018-09-20 |
| 1275019812 | Melissa Mae Hawkins | Nurse Practitioner | 600 Hospital Cir Ste 201, Bay City, TX 77414-4772 | 2018-07-17 |
| 1295225506 | Justin Leray Main | Nurse Practitioner | 1913 S Jefferson St, Bay City, MI 48708-8742 | 2018-05-11 |
| 1508377482 | Emily Spyker | Nurse Practitioner | 4 Columbus Ave # 308, Bay City, MI 48708-6457 | 2017-10-18 |
| 1508215997 | Shanna Lee Bellamy | Nurse Practitioner | 2205 Avenue K, Bay City, TX 77414-5128 | 2016-06-07 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1184837700 | Katie K Gilbert | Nurse Practitioner | 1700 Golden Ave, Bay City, TX 77414-3122 | 2007-05-08 |
| 1588736433 | Jennifer Alice Kreiner | Nurse Practitioner | 3170 South Professional Drive, Bay City, MI 48706 | 2006-11-15 |
| Find all providers in BAY CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.