Jerry F Giardina, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

458628 Issued in TX

Practice address

2323 Texas St
Pecos, TX 79772-7338

Phone

(432) 447-3551

Fax

(432) 447-5434

NPI assigned

Apr 19, 2007

Last updated

Jun 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1730306135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 TEXAS ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727338",
            "telephone_number": "432-447-3551",
            "fax_number": "432-447-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 TEXAS ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727338",
            "telephone_number": "432-447-3551",
            "fax_number": "432-447-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARDINA",
        "first_name": "JERRY",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "458628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232634",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003467004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20781881",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60232021",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori A Diaz, PT, DPT
• Chibuikem Samuel Dimgba, RD
• Brittney J Dye, DPT
• John Thayer Edmondson, CRNA
• Diane A Evering-Simms, M.D.
• Roberto Gomez Jr., RN
• Tamara M Goodliffe, PT
• Guadalupe County Hospital Board (Avir at PECOS)
• Guardian Health Systems Pecos
• Jacob Ethan Guertin

• Certified Registered Nurse Anesthetist in Pecos, TX
• Providers in Pecos, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.