Nicole M Girard, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

3769361205 Issued in UT

Practice address

1083 E 1St Ave
Salt Lake City, UT 84103-4101

Phone

(801) 824-8826

NPI assigned

Sep 27, 2005

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1992791677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 E 1ST AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034101",
            "telephone_number": "801-824-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 E 1ST AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034101",
            "telephone_number": "801-824-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "3769361205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Ginsberg, LCSW
• Brandon Lynn Ginter
• Nicole Gioiosa, RD
• Austin Giove
• Van Gip-Duran, DNP, APRN, FNP-C
• Jasmine G Girgenti
• Daniel Girvan, LMT
• Roger Dale Gisseman, PH.D.
• Gita Rakhsha, PH.D. LLC
• Denise Gitlin, APRN

• General Practice Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.