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JENNIFER MICHELLE SHIVELY N.P.
NPI 1003165267
Nurse Practitioner - Pediatrics, Critical Care in Orange, CA

Active since September 04, 2012
455 S MAIN ST, ORANGE, CA 92868(714) 204-3277 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Michelle Shively N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MICHELLE SHIVELY N.P. (NPI 1003165267) is an individual pediatrics, critical care provider in Orange, California, licensed in California (20141) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1003165267
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameJENNIFER MICHELLE SHIVELYCredential: N.P.
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 204-3277
Phone(714) 204-3277
Sole ProprietorNo
Enumeration DateSeptember 4, 2012
✔ NPI 1003165267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in CA · 20141
455 S MAIN ST, Orange, CA 92868
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC SUBSPECIALTY FACULTY, INC.
Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Orange County (714) 364-4050
PEI LIN CHANG M.D.
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 558-2462
ANTOINE SOLIMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4511
DR. JEFFREY H HO D.O.
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 289-4099
DR. MARITA FORTADES MD
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8767
DR. SHARON KIM MD
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-7601
MS. NANCY ANN VARNI CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 532-8634
PATRICIA L TATE CPNP
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868
Orange County (714) 997-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shively's NPI number?

The NPI number for Jennifer Shively is 1003165267. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Where is Jennifer Shively located?

Jennifer Shively practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 204-3277.

What is Jennifer Shively's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

When was this NPI record last updated?

The NPPES record for Jennifer Shively was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.