Candice Sirak, MT-BC

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1580 Blanding Blvd Unit 102
Jacksonville, FL 32210-1834

Phone

(904) 568-5820

NPI assigned

Oct 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1235005927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PULLMAN CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BLANDING BLVD UNIT 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101834",
            "telephone_number": "904-568-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAK",
        "first_name": "CANDICE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "FL",
            "license": "09553",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simona Zenata Sipos, PA
• Arne Sippens Groenewegen, MD
• Anna Christina Siqueira Marques, MD
• Daniel Augustus Siragusa, M.D.
• Hillary P Siragusa, PA-C
• Kimberly Stallings Sirdevan, LCSW
• Sharathi Chiranga Sirimanne, MD
• Joseph I Sirven, M.D.
• Jason-Flor Villarosa Sisante, DO
• Michael Anthony Sisbarro, PHD

• Contractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.