Active NPI
Peggy M Gironde
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1043911738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP027267
- Practice address
- 11400 SE 6TH St Ste 200
Bellevue, WA 98004-6423 - Phone
- (610) 608-2442
- NPI assigned
- Mar 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP027267 | PA | Primary |
Addresses
Primary practice location
11400 SE 6TH St Ste 200
Bellevue, WA 98004-6423
Mailing address
751 Vandenburg Rd Apt 3423
King of Prussia, PA 19406-1685
Phone (610) 608-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 N 21St St
Suite 306
Camp Hill, PA 17011-3707
Phone (717) 516-5539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP027267 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindsleep Health | Current | Accepting new patients |
Locations
355 N 21st St
Ste 306
Camp Hill, PA 17011
Phone (717) 516-5539
5246 Simpson Ferry Rd
Mechanicsburg, PA 17050
Phone (717) 516-5539
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsburg, PA
- NPI 1053074732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1043911738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 VANDENBURG RD APT 3423",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061685",
"telephone_number": "610-608-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 SE 6TH ST STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046423",
"telephone_number": "610-608-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRONDE",
"first_name": "PEGGY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP027267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.