Annalisa H Shiwbalak

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9608541 Issued in FL

Practice address

13968 Wineberry Dr
Dade City, FL 33525-5960

Phone

(813) 618-6198

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1144033945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13968 WINEBERRY DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255960",
            "telephone_number": "813-618-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13968 WINEBERRY DR",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255960",
            "telephone_number": "813-618-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIWBALAK",
        "first_name": "ANNALISA",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9608541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria P Santayana, DO
• Ariel Hope Santerelli, RBT
• Natalie Lynne Lewis Schwartz
• Diane Scotland-Coogan, MSW
• Sfarms, LLC
• Carly Signorelli, DMD
• Darshan Singh
• Marielle Skairus, DMD
• Bradley Jackson Smurr, O.D.
• Philip A Snyder, D.C.

• All providers in Dade City, FL
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.