Holly K Shively, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

ARNP9170049 Issued in FL

Practice address

3217 Capital Medical Blvd
Tallahassee, FL 32308-4413

Phone

(850) 320-7693

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.76 of 100Reported as group

Quality

84.84

Promoting interoperability

100

Improvement activities

40

Cost

77.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.shively.1@23211.direct.athenahealth.com
• Direct secure messaging: holly.shively.1@2183.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

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.

• Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  Medicare reassignment Care Compare group NPD
• Diana Health TN, PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1457020844
  Medicare reassignment
• Diana Health FL P.a.

  • Obstetrics & Gynecology Physician
  • Fort Walton Beach, FL
  • NPI 1194591966

  Women'S Health

  NPD
• Absolute OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Gulf Breeze, FL
  • NPI 1801301122
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1508136359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084413",
            "telephone_number": "850-320-7693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "629-206-6858 x13381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "HOLLY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9170049",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "37506",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9170049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex James Shippy, DC
• Lauren Jane Shirley
• Benjamin Shivar, PA-C
• Lindsay W Shivar, DPT
• Erin Ashley Shiveler, D.M.D.
• Katelynn Desi'Rae Shiver
• Kristin Shiver
• Terri Jo Shiver, MSW
• Zachary A Shiver
• Mark J Sholtis, L.M.H.C.

• Women's Health Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.