GPK Pediatrics, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

680265 Issued in TX

Legal business name

GPK PEDIATRICS, PLLC

Practice address

103 S 12TH St
Ste 101
Pflugerville, TX 78660-3960

Phone

(512) 989-3334

Fax

(512) 989-3390

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Gudrun P Cobb, CPNP

Title

Owner

Phone

(512) 989-3334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1487917324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S 12TH ST",
            "address_2": "STE 101",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-989-3334",
            "fax_number": "512-989-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 12TH ST",
            "address_2": "STE 101",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603960",
            "telephone_number": "512-989-3334",
            "fax_number": "512-989-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPK PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "GUDRUN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-989-3334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "680265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290264501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Goodloe, PA-C
• Candice Goodman, FNP
• Goodstones, Inc
• Frances Gordon, PSY.D
• Cara Marie Govednik, M.D.
• Samantha A Graef, PA-C
• Aurora Elizabeth Graham, NP
• Mary Graham, LVN
• Grand Ave Pharmacy
• Lekeba Tier Granger, DMD

• Pediatric Nurse Practitioner in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.