Individual provider Active NPI

Kayla Evelyn Hollihan, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1265151625
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021130 Issued in FL
Practice address
8773 W Boynton Beach Blvd
Unit 500
Boynton Beach, FL 33472
Phone
(561) 576-7722
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11021130 FL Primary

Addresses

Primary practice location

8773 W Boynton Beach Blvd
Unit 500
Boynton Beach, FL 33472

Mailing address

14643 83Rd LN N
Loxahatchee, FL 33470-4360
Phone (561) 889-9953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001726 FL Practitioner - Nurse Practitioner 3678958782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

8291 Dani Dr
Suite 130
Fort Myers, FL 33966-8021
Phone (239) 256-3266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021130FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Sep 6, 2022 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

8773 Boynton Beach Blvd
Unit 500
Boynton Beach, FL 33472
Phone (561) 576-7722

4761 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 337-1588

8291 Dani Dr
Ste 130
Fort Myers, FL 33966
Phone (239) 256-3266

8441 Honore Ave
University Park, FL 34201
Phone (941) 360-3434

2863 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 337-4116

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1265151625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14643 83RD LN N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704360",
            "telephone_number": "561-889-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8773 W BOYNTON BEACH BLVD",
            "address_2": "UNIT 500",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33472",
            "telephone_number": "561-576-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIHAN",
        "first_name": "KAYLA",
        "middle_name": "EVELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.