Individual provider Active NPI

Elizabeth Liu Sirban, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1962782383
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9328970 Issued in FL
Practice address
2708 W Saint John St
Tampa, FL 33607-2944
Phone
(813) 444-7779
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9328970 FL
Family Nurse Practitioner 363LF0000X APRN9328970 FL Primary

Addresses

Primary practice location

2708 W Saint John St
Tampa, FL 33607-2944

Mailing address

2708 W Saint John St
Tampa, FL 33607-2944
Phone (813) 444-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9328970FLMDFamily Nurse Practitioner
APRN9328970FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Favorite Clinic LLC Family CurrentSince May 29, 2022 Accepting new patients
Tran Chiropractic & Wellness Center Inc CurrentSince Dec 10, 2012 Accepting new patients
Essential Integrative Medicine LLC CurrentSince Dec 10, 2012 Accepting new patients
Take Care Health Services PA Family Past Accepting new patients

Locations

3715 W Azeele St
Tampa, FL 33609
Phone (813) 253-0711

Organizations & group practices 4

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1962782383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W SAINT JOHN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072944",
            "telephone_number": "813-444-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W SAINT JOHN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072944",
            "telephone_number": "813-444-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRBAN",
        "first_name": "ELIZABETH",
        "middle_name": "LIU",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9328970",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9328970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.