Keedra Nicole Giraldi, PNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1034528 Issued in TX

Practice address

1919 S Braeswood Blvd Ste 5330
Houston, TX 77030-4466

Phone

(832) 827-4000

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keedra Nicole Wilsford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• N W Pediatric Center Inc P S

  • Pediatrics Physician
  • Chehalis, WA
  • NPI 1477789956
  NPD (past)
• N W Pediatric Center Inc P S

  • Pediatrics Physician
  • Centralia, WA
  • NPI 1518034180
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1558025171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD STE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S BRAESWOOD BLVD STE 5330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304466",
            "telephone_number": "832-827-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDI",
        "first_name": "KEEDRA",
        "middle_name": "NICOLE",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1034528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEEDRA",
            "last_name": "WILSFORD",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juvy Gipitulan, PT
• Ashley Gipson
• Betty Gipson
• Deborah Gipson, OTR
• David Paul Giragosian, PSY.D.
• Rodolfo G Giraldi, M.D.
• Alexa Giraldo, PA-C
• Diana Giraldo
• Miysha Shaw Girardeau, MD, MS
• Nilgun Giray Bellezza, M.D.

• Pediatric Nurse Practitioner in Houston, TX
• Providers in Houston, 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 Oct 29, 2021; 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.