Active NPI
Laura Anne Sirak, APRN
- Family Nurse Practitioner
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9295963
- Practice address
- 5259 Village Market
Wesley Chapel, FL 33544-8401 - Phone
- (813) 973-0333
- Fax
- (813) 973-2313
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9295963 | FL | Primary |
Addresses
Primary practice location
5259 Village Market
Wesley Chapel, FL 33544-8401
Mailing address
720 Brooker Creek Blvd Ste 215
Oldsmar, FL 34677-2937
Phone (813) 854-2003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14411000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9295963 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Health Care Alliance, PA | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Pediatric Health Care Alliance, PA | Past | Accepting new patients |
Locations
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
4033 Tampa Rd
Ste 101
Oldsmar, FL 34677
Phone (813) 854-2003
720 Brooker Creek Blvd
Ste 215
Oldsmar, FL 34677
Phone (813) 854-2003
5259 Village Market
Wesley Chapel, FL 33544
Phone (813) 973-0333
1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Pediatrics Physician
- Wesley Chapel, FL
- NPI 1407522352
-
- Pediatrics Physician
- Oldsmar, FL
- NPI 1609965441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1013306513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 BROOKER CREEK BLVD STE 215",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772937",
"telephone_number": "813-854-2003",
"fax_number": "813-436-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5259 VILLAGE MARKET",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335448401",
"telephone_number": "813-973-0333",
"fax_number": "813-973-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRAK",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9295963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14411000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.