Mary Sheirburn LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MARY SHEIRBURN LLC

Practice address

260 Williamson Blvd Unit 730372
Ormond Beach, FL 32174-8257

Phone

(386) 453-1679

Fax

(386) 200-5848

NPI assigned

Jul 22, 2021

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary SheirburnNPI 1336669613

Title

Owner/Provider

Phone

(386) 453-1679

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Sheirburn

  • Early Intervention Provider Agency
  • Ormond Beach, FL
  • NPI 1336669613
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1871166124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WILLIAMSON BLVD UNIT 730372",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748257",
            "telephone_number": "386-453-1679",
            "fax_number": "386-200-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WILLIAMSON BLVD UNIT 730372",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748257",
            "telephone_number": "386-453-1679",
            "fax_number": "386-200-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY SHEIRBURN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "SHEIRBURN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "386-453-1679"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jeanne Martin, ARNP
• Robert J Martin, M.D.
• Sarah D Martinez, ARNP, FNP-BC
• Jessica Marvel
• Mary Beth R Blackwell LCSW LLC
• Raymond F Masbad III
• Jalen Mason
• Massage Therapy Services
• Bailee Massebeau, RDN/LDN
• Laurel Mathias

• Early Intervention Provider Agency in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.