Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SHONNA HOLLAND APRN
NPI 1275174443
Nurse Practitioner - Family in Tampa, FL

Q: What is Shonna Holland's NPI number?

The NPI number for Shonna Holland is 1275174443. It was assigned to this individual provider in the NPPES registry on September 30, 2019. The provider is also known as Shonna J Haverty.

Q: What is Shonna Holland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shonna Holland was last updated on July 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2019PECOS Enrolled

3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 875-3950(813) 872-2741 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2026, Jul 2, 2021, Sep 30, 2019 (3 updates tracked since 2019).

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About Shonna Holland Aprn NPPES

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

SHONNA HOLLAND APRN (NPI 1275174443) is an individual family provider in Tampa, Florida, licensed in Florida (APRN11004091) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275174443

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHONNA HOLLANDCredential: APRN

Location Address3402 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6214

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(813) 875-3950

Fax(813) 872-2741

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 30, 2019

Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1275174443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11004091

3402 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

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Other Names 1

Former Name (1)Shonna J Haverty

Other Identifiers 1

Medicaid110658300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shonna Holland Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981013471

PECOS Enrollment IDI20210513001706

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

DR. RAND W. ALTEMOSE M.D.

Internal Medicine (Medical Oncology)