Individual provider Active NPI

Heather Girk, ARNP

  • Pediatric Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1316185580
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3061442 Issued in FL
Practice address
720 S Orange Ave
Sarasota, FL 34236-7718
Phone
(941) 365-1277
Fax
(941) 366-1849
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3061442 FL Primary

Addresses

Primary practice location

720 S Orange Ave
Sarasota, FL 34236-7718

Mailing address

720 S Orange Ave
Sarasota, FL 34236-7718
Phone (941) 365-1277

Other identifiers 1

IdentifierTypeStateIssuer
306544800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3061442FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1316185580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S ORANGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367718",
            "telephone_number": "941-365-1277",
            "fax_number": "941-366-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S ORANGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367718",
            "telephone_number": "941-365-1277",
            "fax_number": "941-366-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRK",
        "first_name": "HEATHER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "3061442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306544800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.