Individual provider Active NPI

Laura Anne Sirak, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1013306513
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9295963 Issued in FL
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

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14411000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604000250 FL Practitioner - Nurse Practitioner 4587985403 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9295963FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Health Care Alliance, PA CurrentSince Oct 8, 2023 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Pediatric Health Care Alliance, PA PastSince Oct 8, 2023 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.

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

Verify at the official NPI Registry.