Mary Sheree Holliman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001761 Issued in FL

Practice address

2419 W Kennedy Blvd Ste 101
Tampa, FL 33609-3481

Phone

(813) 386-3370

Fax

(813) 386-0513

NPI assigned

May 4, 2019

Last updated

May 4, 2019By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Premiere Center for Cosmetic Surgery

  • Plastic Surgery Physician
  • Fairfax, VA
  • NPI 1811185481
  NPD (past)

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1033774195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HARBOUR ISLAND BLVD UNIT 642",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336026707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 W KENNEDY BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093481",
            "telephone_number": "813-386-3370",
            "fax_number": "813-386-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIMAN",
        "first_name": "MARY",
        "middle_name": "SHEREE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Hollers
• Holley Star Home Care
• Robb Warren Holley, LCSW
• Rowena Holley, C.R.N.A.
• Chelsea Casaccia Hollier, OD
• Mary R. Hollinger
• Caridad Hollingshead, APRN
• Adam Mattson Hollingsworth, PHARMD, BCPS
• Astria Lynn Hollingsworth
• Joanne Hollingsworth, PA-C

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2019; 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.