Active NPI
Cathy Player Sirmans, LPN/PRESIDENT
- Adult Companion
- Callahan, FL
National Provider Identifier
1750870119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- PN5149207
- Practice address
- 54791 Church Rd
Callahan, FL 32011-7615 - Phone
- (904) 316-7290
- Fax
- (904) 879-1607
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | PN5149207 | FL | Primary |
Addresses
Primary practice location
54791 Church Rd
Callahan, FL 32011-7615
Mailing address
54791 Church Rd
Callahan, FL 32011-7615
Phone (904) 316-7290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4658962 | Other | FL | AARP MEDICARECOMPLETE UNITEDHEALTHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN5149207 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1750870119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54791 CHURCH RD",
"city": "CALLAHAN",
"state": "FL",
"postal_code": "320117615",
"telephone_number": "904-316-7290",
"fax_number": "904-879-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54791 CHURCH RD",
"city": "CALLAHAN",
"state": "FL",
"postal_code": "320117615",
"telephone_number": "904-316-7290",
"fax_number": "904-879-1607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRMANS",
"first_name": "CATHY",
"middle_name": "PLAYER",
"credential": "LPN/PRESIDENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "PN5149207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP MEDICARECOMPLETE UNITEDHEALTHCARE",
"identifier": "82-4658962",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Callahan, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.