Individual provider Active NPI

Brittany Giraud, ARNP

  • Gerontology Nurse Practitioner
  • New York, NY
National Provider Identifier
1730565136
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95011689 Issued in CA
Practice address
632 Broadway Pent House
New York, NY 10012
Phone
(347) 294-3414
Fax
(205) 332-1383
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9305961 FL
Gerontology Nurse Practitioner 363LG0600X 95011689 CA Primary

Addresses

Primary practice location

632 Broadway Pent House
New York, NY 10012

Mailing address

64 Bleecker St # 151
New York, NY 10012-2410
Phone (347) 294-3414

Other practice location 1

1410 Royal Palm Beach Blvd
Suite A
Royal Palm Beach, FL 33411-1608
Phone (561) 790-0789

Other practice location 2

1410 Royal Palm Beach Blvd
Suite A
Royal Palm Beach, FL 33411-1608
Phone (561) 790-0789

Other practice location 3

8570 W. Sunset Blvd Suite 1.5
West Hollywood, CA 90069
Phone (310) 500-2041

Other practice location 4

12301 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1000
Phone (310) 500-2045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023003835 CA Practitioner - Nurse Practitioner 6002126307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Nov 1, 2019 Accepting new patients

Locations

12301 Wilshire Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 500-2045

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

8570 W Sunset Blvd
Ste 15
West Hollywood, CA 90069
Phone (310) 500-2041

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1730565136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "347-294-3414",
            "fax_number": "205-332-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 BROADWAY PENT HOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "347-294-3414",
            "fax_number": "205-332-1383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Royal Palm Beach Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111608",
            "country_code": "US",
            "telephone_number": "561-790-0789",
            "fax_number": "561-790-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Royal Palm Beach Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111608",
            "country_code": "US",
            "telephone_number": "561-790-0789",
            "fax_number": "561-790-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8570 W. Sunset Blvd Suite 1.5",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "90069",
            "country_code": "US",
            "telephone_number": "310-500-2041",
            "fax_number": "323-305-7149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12301 Wilshire Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251000",
            "country_code": "US",
            "telephone_number": "310-500-2045",
            "fax_number": "310-300-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRAUD",
        "first_name": "BRITTANY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9305961",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95011689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.