KIMBERLY FENTON-SHOMO (NPI# 1801421128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801421128 |
| Entity Type | Individual |
| Full Name | KIMBERLY FENTON-SHOMO |
| Practice Address |
2713 Lancaster Ave Wilmington DE 19805-5220 |
| Practice Telephone | 3022259267 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L2-0013717 | DE | Nursing Service Providers |
| Street Address |
2713 LANCASTER AVE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346320983 | Brandywine Counseling & Community Services, Inc. | Clinic/Center | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2006-10-17 |
| 1851999221 | Lanisha Soto | Technician/Technologist | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-10-16 |
| 1376169995 | Walidah Muhammad | Registered Nurse | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-06-19 |
| 1720604341 | Carrie Stofanak | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-06-19 |
| 1477189728 | Mia Randall | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-03-19 |
| 1073148391 | Vashita Pierce | Case Manager/Care Coordinator | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-03-06 |
| 1104451426 | Andrew Koppel | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-03-06 |
| 1154956779 | Vernell Proctor | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-03-04 |
| 1619508439 | Michelle Wilson | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-01-30 |
| 1700417532 | Latrice Mason | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
| 1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
| 1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
| 1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
| 1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
| 1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
| 1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
| 1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053956433 | Monica Fay Morrison | Licensed Practical Nurse | 2907 S State Route 134 Lot 305, Wilmington, OH 45177-9711 | 2019-11-09 |
| 1952951063 | Erin E Welch | Licensed Practical Nurse | 42 Cottage St, Wilmington, MA 01887-2002 | 2019-09-19 |
| 1053766626 | Michele Thompson | Licensed Practical Nurse | 12 Hemlock Pl, Wilmington, DE 19810-1920 | 2016-05-02 |
| 1154791606 | Jessica L Mcmahon | Licensed Practical Nurse | 2113 Naamans Rd, Wilmington, DE 19810-1326 | 2015-09-28 |
| 1871999540 | Alicia Rheel | Licensed Practical Nurse | 6339 Carolina Beach Rd, Wilmington, NC 28412-2907 | 2014-11-07 |
| 1902234636 | Miranda Louise Ward | Licensed Practical Nurse | 849 Springfield Rd, Apt B, Wilmington, NY 12997-2300 | 2013-10-15 |
| 1104179845 | David Allen Kerns | Licensed Practical Nurse | 5598 N State Route 134, Wilmington, OH 45177-8844 | 2012-10-18 |
| 1144513193 | Lorina Dryden | Licensed Practical Nurse | 117 Rodman St, Wilmington, DE 19805-3320 | 2011-05-24 |
| 1023301132 | Serina Cannon | Licensed Practical Nurse | 2307 N Harrison St Apt 17, Wilmington, DE 19802-3363 | 2011-05-23 |
| 1487957833 | Melissa Carolyne Miner | Licensed Practical Nurse | 1213 Ogden Rd, Wilmington, OH 45177-9588 | 2010-12-07 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
Please comment or provide details below to improve the information on KIMBERLY FENTON-SHOMO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.