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SHYNEA LYNN HOLIDAY PA-C
NPI 1619428505
Physician Assistant - Surgical in Philadelphia, PA

Active since October 17, 2016PECOS Enrolled
800 SPRUCE ST, 9TH FL, PHILADELPHIA, PA 19106(267) 441-0149 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 19, 2017, Oct 17, 2016 (2 updates tracked since 2016).

About Shynea Lynn Holiday Pa-c NPPES

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

SHYNEA LYNN HOLIDAY PA-C (NPI 1619428505) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA059616) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1619428505
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHYNEA LYNN HOLIDAYCredential: PA-C
Location Address800 SPRUCE ST, 9TH FLPhiladelphia, PA 19106-6130
Mailing Address800 Spruce St, 9th FlPhiladelphia, PA 19106-6130 · (267) 441-0149
Phone(267) 441-0149
Sole ProprietorNo
Enumeration DateOctober 17, 2016
Last NPPES UpdateDecember 19, 20172 updates tracked since enumeration
✔ NPI 1619428505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA059616
800 SPRUCE ST, Philadelphia, PA 19106
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Secondary Practice Location 1

Location 1540 S Governors Ave Ste 101BDover, DE 19904-3530 · Phone (302) 674-4700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shynea Lynn Holiday Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Shynea Holiday's NPI number?

The NPI number for Shynea Holiday is 1619428505. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Shynea Holiday located?

Shynea Holiday practices at 800 Spruce St 9th Fl, Philadelphia, PA 19106. The listed phone number is (267) 441-0149.

What is Shynea Holiday's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shynea Holiday enrolled in Medicare?

Yes. Shynea Holiday is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shynea Holiday was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.