Individual provider Active NPI

Judith A. Siron, APRN

  • Advanced Practice Midwife
  • Brandon, FL
National Provider Identifier
1386621019
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9265982 Issued in FL
Practice address
401 Oakfield Dr.
Brandon, FL 33511
Phone
(813) 654-2273
Fax
(813) 413-8563
NPI assigned
Dec 23, 2005
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP9265982 FL
Advanced Practice Midwife 367A00000X 0017136835 VA
Advanced Practice Midwife 367A00000X APRN9265982 FL Primary

Addresses

Primary practice location

401 Oakfield Dr.
Brandon, FL 33511

Mailing address

888 S. Parsons Ave
Brandon, FL 33511
Phone (813) 654-2273

Other identifiers 2

IdentifierTypeStateIssuer
003500800MedicaidFL
7794622MedicaidVA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000391 FL Practitioner - Certified Nurse Midwife (CNM) 8729222344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9265982FLMDObstetrics & Gynecology Nurse Practitioner
APRN9265982FLMDAdvanced Practice Midwife
0017136835VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Health Centers Inc CurrentSince Nov 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 13, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 13, 2022 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Apr 1, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
  • Direct secure messaging: judith.siron.1@17832.direct.athenahealth.com
  • Direct secure messaging: judith.siron@hca5.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1386621019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S. PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-2273",
            "fax_number": "813-413-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OAKFIELD DR.",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-654-2273",
            "fax_number": "813-413-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRON",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9265982",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0017136835",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN9265982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003500800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7794622",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.