Individual provider Active NPI

Giovanna Kirissa Giacchino, FNP-BC

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1184451668
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035808 Issued in FL
Practice address
224 Chiquita Blvd N
Cape Coral, FL 33993-7734
Phone
(239) 763-2710
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11035808 FL Primary

Addresses

Primary practice location

224 Chiquita Blvd N
Cape Coral, FL 33993-7734

Mailing address

224 Chiquita Blvd N
Cape Coral, FL 33993-7734
Phone (239) 763-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17801 Murdock Cir
Unit C
Port Charlotte, FL 33948-4003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11035808FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Giacchino Medical & Wellness LLC Family Current Accepting new patients

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1184451668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CHIQUITA BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937734",
            "telephone_number": "239-763-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHIQUITA BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937734",
            "telephone_number": "239-763-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACCHINO",
        "first_name": "GIOVANNA",
        "middle_name": "KIRISSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.