Individual provider Active NPI

Pearl Ann Arrita Shiwram

  • Phlebotomy Technician
  • Kissimmee, FL
National Provider Identifier
1922433077
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
64061013004 Issued in FL
Practice address
703 Antelope Way
Kissimmee, FL 34759
Phone
(407) 346-8686
Fax
(863) 353-1126
NPI assigned
Sep 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 64061013004 FL Primary

Addresses

Primary practice location

703 Antelope Way
Kissimmee, FL 34759

Mailing address

962 Nancy CT
Kissimmee, FL 34759-3802
Phone (407) 346-8686

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
64061013004FLMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Floral Gardens Corp CurrentSince Oct 27, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1922433077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 NANCY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593802",
            "telephone_number": "407-346-8686",
            "fax_number": "407-483-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ANTELOPE WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "407-346-8686",
            "fax_number": "863-353-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIWRAM",
        "first_name": "PEARL",
        "middle_name": "ANN ARRITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "64061013004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.