DEANNE KRISTEN SHELY FNP
NPI 1366812513
Nurse Practitioner - Family in Orlando, FL

Active since September 30, 2015
130 E MARKS ST, ORLANDO, FL 32803(407) 505-6435(386) 206-5020 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2024, Aug 10, 2021, Nov 12, 2019 and 3 more (6 updates tracked since 2015).

About Deanne Kristen Shely Fnp NPPES

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

DEANNE KRISTEN SHELY FNP (NPI 1366812513) is an individual family provider in Orlando, Florida, licensed in Florida (APRN11000645) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1366812513
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEANNE KRISTEN SHELYCredential: FNP
Location Address130 E MARKS STOrlando, FL 32803-3817
Mailing Address14144 Portrush DrOrlando, FL 32828-8244 · (407) 491-5600
Fax(386) 206-5020
Sole ProprietorYes
Enumeration DateSeptember 30, 2015
Last NPPES UpdateAugust 2, 20246 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1366812513 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
Licenses Licensed in FL · APRN11000645 Licensed in CA · 95001792
130 E MARKS ST, Orlando, FL 32803

Other Identifiers 1

Medicaid104421000FL

Other Providers at the Same Location NPPES

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

Clinic/Center (Health Service)
130 E MARKS ST
ORLANDO, FL 32803

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 Deanne Shely's NPI number?

The NPI number for Deanne Shely is 1366812513. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Deanne Shely located?

Deanne Shely practices at 130 E Marks St, Orlando, FL 32803. The listed phone number is (407) 505-6435.

What is Deanne Shely's specialty?

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

When was this NPI record last updated?

The NPPES record for Deanne Shely was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.