Kristi T Gourdine, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

543258-1 Issued in NY

Practice address

408 E 137TH St
Bronx, NY 10454-4004

Phone

(718) 555-5555

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kristi.gourdine.p1@direct.ucpnyc.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1275167421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 HUNTER AVE APT 24F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755629",
            "telephone_number": "646-528-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 137TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544004",
            "telephone_number": "718-555-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURDINE",
        "first_name": "KRISTI",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "543258-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "address_1": "408 E 137th St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104544004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dahlia Goulbourne Alexander
• Rita Francestor Goulbourne, R.N
• Timothy Joseph Goulet, PA-C
• Ioulia Gourari, M.D.
• Kranthi Kumar Gouravaram, DO
• Sophia Gourgiotis
• Ella Gourley
• Afrodite Connie Gourtzelis
• Ivon Lestari Goutama, MD
• Mary Trace Gover, MD

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.