Deanne Kristen Shely, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000645 Issued in FL

Practice address

130 E Marks St
Orlando, FL 32803-3817

Phone

(407) 505-6435

Fax

(386) 206-5020

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1366812513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14144 PORTRUSH DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288244",
            "telephone_number": "407-491-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033817",
            "telephone_number": "407-505-6435",
            "fax_number": "386-206-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELY",
        "first_name": "DEANNE",
        "middle_name": "KRISTEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001792",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104421000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amrou Shelbaya
• Shelley Carmine Bowles, LCSW, PA
• Macey Shellhouse
• Zachary Rondale Shellman, L.M.T.
• Tyler Shelton, PA-C
• Saied Ebrahim Shemiranei, MD
• Laura Shen
• Qi Shen, MD
• Yifan Shen
• Stephen Victor Shenouda, MD

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, 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 Aug 2, 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.