Active NPI
Kimberly Denise Shoemate, CHW
- Community Health Worker
- Minneapolis, MN
National Provider Identifier
1184529547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 310 E 38TH St
Minneapolis, MN 55409-1300 - Phone
- (651) 448-7269
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
310 E 38TH St
Minneapolis, MN 55409-1300
Mailing address
PO Box 566
Red Lake, MN 56671-0566
Phone (218) 679-1320
Other practice location 1
2115 Cedar Ave S
Minneapolis, MN 55404-3102
Phone (651) 448-7296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1184529547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 566",
"city": "RED LAKE",
"state": "MN",
"postal_code": "566710566",
"telephone_number": "218-679-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 38TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091300",
"telephone_number": "651-448-7269"
}
],
"practiceLocations": [
{
"address_1": "2115 Cedar Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554043102",
"country_code": "US",
"telephone_number": "651-448-7296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOEMATE",
"first_name": "KIMBERLY",
"middle_name": "DENISE",
"credential": "CHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.