Chandima Sumudu Wasana Siyambalapitiyage Dona

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11046779 Issued in FL

Practice address

5670 58TH Ave N
Saint Petersburg, FL 33709-2048

Phone

(323) 540-1974

NPI assigned

May 7, 2026

Sex

Female

Sole proprietor

No

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

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1407783889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 58TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092048",
            "telephone_number": "323-540-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 58TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092048",
            "telephone_number": "323-540-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIYAMBALAPITIYAGE DONA",
        "first_name": "CHANDIMA",
        "middle_name": "SUMUDU WASANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11046779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaila Siraj
• John Victor Sirois, APRN
• Yana Sirotkin, M.A., PH.D.
• Heather Ann Siswick, MA, LMHC
• Shivan Sitahal
• Sizewise Rentals LLC
• Sanil Mathew Skaria, MD
• David Vice Skaro, D.C.
• Hannah Skillman, M. S. BCBA
• James Harry Skorczewski Jr., D.O.

• Primary Care Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.