Individual provider Active NPI

Shadell Christine Holas, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Lauderhill, FL
National Provider Identifier
1811615297
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11021570 Issued in FL
Practice address
7229 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1004
Phone
(954) 824-2616
Fax
(754) 667-4007
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 11021570 FL Primary

Addresses

Primary practice location

7229 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1004

Mailing address

9114 Chambers St
Tamarac, FL 33321-4147
Phone (954) 675-6596

Other identifiers 1

IdentifierTypeStateIssuer
PW764OtherFLMEDICARE

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
I20221003003122 FL Practitioner - Nurse Practitioner 3779969431 Reassigns benefits to 3 organizations

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
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians

Practice addresses (Care Compare)

7229 W Oakland Park Blvd
Suite 101
Lauderhill, FL 33313-1004
Phone (954) 824-2616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11021570FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care, LLC. CurrentSince Sep 28, 2022 Accepting new patients
Medical Consultants of Florida, LLC Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Aug 31, 2023 Accepting new patients
South Florida Surgical Specialists LLC CurrentSince Mar 1, 2023 Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Sep 28, 2022 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3001 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 755-0111

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

7229 W Oakland Park Blvd
Ste 101
Lauderhill, FL 33313
Phone (954) 824-2616

6101 W Atlantic Blvd
Ste 101
Margate, FL 33063
Phone (954) 869-4320

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

672 SW Prima Vista Blvd
#10
Port St Lucie, FL 34983
Phone (772) 905-2555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1811615297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 CHAMBERS ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214147",
            "telephone_number": "954-675-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 W OAKLAND PARK BLVD STE 101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131004",
            "telephone_number": "954-824-2616",
            "fax_number": "754-667-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAS",
        "first_name": "SHADELL",
        "middle_name": "CHRISTINE",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PW764",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.