Kellin Conway Girard, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9266034 Issued in FL

Practice address

111 N. Brevard Ave.
Tampa, FL 33606

Phone

(813) 253-6250

Fax

(813) 258-7413

NPI assigned

Aug 25, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1568839595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12098 96TH PL",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722613",
            "telephone_number": "727-644-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. BREVARD AVE.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "813-253-6250",
            "fax_number": "813-258-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "KELLIN",
        "middle_name": "CONWAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9266034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janae Gipson, BEHAVIOR TECHNICIAN
• Juliana Giraldo-Isaza
• Andrea Giraldo
• Annie Giraldo, BCBA
• Hernan Giraldo, MD
• Alexandra Anne Girardot, D.O.
• Sofia Girgenti
• John Adel Girgis
• Girls Empowered Mentally for Success
• Fabiola K Giron, DDS

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.