Individual provider Active NPI

Hollie Hristov, FNP

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1972951309
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014651 Issued in FL
Practice address
777 Glades Rd
Office Building 1 First Floor
Boca Raton, FL 33431-0000
Phone
(561) 297-0372
NPI assigned
May 26, 2016
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340627-1 NY
Family Nurse Practitioner 363LF0000X APRN11014651 FL Primary

Addresses

Primary practice location

777 Glades Rd
Office Building 1 First Floor
Boca Raton, FL 33431-0000

Mailing address

777 Glades Road, Office Building 1 First Floor
Boca Raton, FL 33431-0000
Phone (561) 297-0372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 24, 2025 through Oct 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340627NYMDSurgery Physician
APRN11014651FLMDFamily Nurse Practitioner
F340627-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Atlantic University CurrentSince Jun 26, 2022 Accepting new patients
Florida Atlantic University CurrentSince Jun 26, 2022 Accepting new patients

Locations

777 Glades Rd
Ofc
Boca Raton, FL 33431
Phone (561) 297-0372

Interoperability endpoints

  • Direct secure messaging: hollie.hristov.1@24265.direct.athenahealth.com
  • Direct secure messaging: hollie.hristov@836821628223492.direct.elationemr.com

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1972951309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES ROAD, OFFICE BUILDING 1 FIRST FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310000",
            "telephone_number": "561-297-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "address_2": "OFFICE BUILDING 1 FIRST FLOOR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310000",
            "telephone_number": "561-297-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISTOV",
        "first_name": "HOLLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340627-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.