Individual provider Active NPI

Courtney Lennon Giraudo, CPNP

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1366766453
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP15098 Issued in CA
Practice address
1625 Van Ness Avenue
3Rd FLR, California Pacific Medical Ctr
San Francisco, CA 94120
Phone
(415) 600-0830
Fax
(415) 731-2314
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN570791 CA
Pediatric Nurse Practitioner 363LP0200X NP15098 CA Primary

Addresses

Primary practice location

1625 Van Ness Avenue
3Rd FLR, California Pacific Medical Ctr
San Francisco, CA 94120

Mailing address

1625 Van Ness Avenue
3Rd FLR, California Pacific Medical Ctr
San Francisco, CA 94120
Phone (415) 600-0830

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN570791CAMDRegistered Nurse
NP15098CAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1366766453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 VAN NESS AVENUE",
            "address_2": "3RD FLR, CALIFORNIA PACIFIC MEDICAL CTR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94120",
            "telephone_number": "415-600-0830",
            "fax_number": "415-731-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 VAN NESS AVENUE",
            "address_2": "3RD FLR, CALIFORNIA PACIFIC MEDICAL CTR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94120",
            "telephone_number": "415-600-0830",
            "fax_number": "415-731-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRAUDO",
        "first_name": "COURTNEY",
        "middle_name": "LENNON",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN570791",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP15098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.