Individual provider Active NPI

Kristen Elise Giordano, PA-C

  • Physician Assistant
  • Tulsa, OK
National Provider Identifier
1083017685
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2683 Issued in OK
Practice address
8803 S 101St East Ave Ste 100
Tulsa, OK 74133-7546
Phone
(918) 574-0220
Fax
(918) 574-0229
NPI assigned
Sep 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2683 OK Primary

Addresses

Primary practice location

8803 S 101St East Ave Ste 100
Tulsa, OK 74133-7546

Mailing address

8803 S 101St East Ave Ste 100
Tulsa, OK 74133-7546
Phone (918) 574-0220

Other practice location 1

705 W Oakland St
Broken Arrow, OK 74012-1656
Phone (918) 251-2666

Other names 1

  • Ms. Kristen Elise Taormina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000074 NJ Practitioner - Physician Assistant 3577885375 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2683OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 23, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 23, 2023 Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

Organizations & group practices 3

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": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1083017685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337546",
            "telephone_number": "918-574-0220",
            "fax_number": "918-574-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337546",
            "telephone_number": "918-574-0220",
            "fax_number": "918-574-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W Oakland St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740121656",
            "country_code": "US",
            "telephone_number": "918-251-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIORDANO",
        "first_name": "KRISTEN",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "TAORMINA",
            "middle_name": "ELISE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.