Shelly-Ann Annmarie Hall, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11015525 Issued in FL

Practice address

6309 Silk Oak Cir
Tamarac, FL 33319-3545

Phone

(954) 702-2208

NPI assigned

Oct 14, 2021

Last updated

Nov 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18048/brand/1/csg/1/fhir/r4
• Direct secure messaging: shall2789894@direct.trinity-health.org

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.

• Infectious Disease Consultants PA

  • Infectious Disease Physician
  • Coral Springs, FL
  • NPI 1497868707
  Medicare reassignment NPD
• Dr Arthur B Korbel Inc

  • Primary Podiatric Medicine Podiatrist
  • Coral Springs, FL
  • NPI 1124292669
  NPD (past)
• Florida Heart Rhythm Specialists PLLC

  dba Florida Heart & Vascular, LLC

  • Cardiovascular Disease Physician
  • Fort Lauderdale, FL
  • NPI 1861622516
  NPD (past)

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1679236848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 SILK OAK CIR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193545",
            "telephone_number": "954-702-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 SILK OAK CIR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193545",
            "telephone_number": "954-702-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582795",
            "country_code": "US",
            "telephone_number": "561-295-4609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 NE 45th St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333085117",
            "country_code": "US",
            "telephone_number": "954-678-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SHELLY-ANN",
        "middle_name": "ANNMARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11015525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pristine Hakime, RN, APRN,
• Samiyah Zanovia Haley
• Andrea Michelle Hall, LCSW
• Brandy Michelle Hall
• Regina L Hall
• Elias Halpert, MD
• Hamel Foundation Inc
• Sheilin Hamid, DO
• Hanger Prosthetics & Orthotics, Inc. (Hanger Clinic)
• Laurice L Hansen, PHARM D, RPH

• Gerontology Nurse Practitioner in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.