Active NPI
Courtney Lennon Giraudo, CPNP
- Pediatric Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1366766453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP15098
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN570791 | CA | MD | Registered Nurse |
| NP15098 | CA | MD | Pediatric 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.