Kathleen Giramur, DNP, FNP-BC
Kathleen Giramur, DNP, FNP-BC is a Primary Care Nurse Practitioner in Apo, AE, registered under NPI 1457324006. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is CMR 402, Apo, AE 09180. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AP3004880 | WA | Primary Care Nurse Practitioner primary |
| 107887 | CO | Family Nurse Practitioner |
| AP134694 | TX | Family Nurse Practitioner |
Licences are recorded in 3 states: WA, CO, TX. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: Colorado, Texas and Washington. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | AP3004880 | WA | primary |
| 363LF0000X | Family Nurse Practitioner Family | 107887 | CO | |
| 363LF0000X | Family Nurse Practitioner Family | AP134694 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1457324006 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 13, 2006 |
| Last updated | Oct 3, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | DNP, FNP-BC |
| Practice address |
CMR 402 Apo, AE 09180 011496371868590 |
| Mailing address |
CMR 402, BOX 997 Apo, AE 09180 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 5 | 7 | 3 | 2 | 4 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 1 | 7 | 6 | 2 | 8 | 0 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.