Active NPI
Kishon Gallmon
- Family Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0013229
- Practice address
- 4512 Kirkwood Hwy Ste 300
Wilmington, DE 19808-5129 - Phone
- (302) 623-7500
- Fax
- (302) 623-7505
- NPI assigned
- Aug 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0013229 | DE | Primary |
| Registered Nurse | 163W00000X | L1-0047657 | DE | |
| Nurse Practitioner | 363L00000X | LG-0013229 | DE |
Addresses
Primary practice location
4512 Kirkwood Hwy Ste 300
Wilmington, DE 19808-5129
Mailing address
4512 Kirkwood Hwy Ste 300
Wilmington, DE 19808-5129
Phone (302) 623-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4512 Kirkwood Hwy
Suite 300
Wilmington, DE 19808-5129
Phone (302) 623-7500
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0047657 | DE | MD | Registered Nurse |
| LG-0013229 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Nurse Practitioner | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Nurse Practitioner | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4512 Kirkwood Hwy
Ste 300
Wilmington, DE 19808
Phone (302) 623-7500
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
Nurse Practitioner
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Nurse Practitioner
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1114805710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 KIRKWOOD HWY STE 300",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085129",
"telephone_number": "302-623-7500",
"fax_number": "302-623-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 KIRKWOOD HWY STE 300",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085129",
"telephone_number": "302-623-7500",
"fax_number": "302-623-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLMON",
"first_name": "KISHON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-22",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0013229",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0047657",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0013229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.