Shannetta Foxmoor

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

406 Wilmore Dr
Middletown, DE 19709-8384

Phone

(302) 230-1185

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1225808512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 WILMORE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098384",
            "telephone_number": "302-230-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WILMORE DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197098384",
            "telephone_number": "302-230-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXMOOR",
        "first_name": "SHANNETTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Associates LLP
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• D'Shon Foote
• Zoe Ford
• Hallie Katrina Forsythe-Dennison, CRNP
• Freedom Dental Care de LLC (Westown Dental)
• Freedom Dental Care de LLC (Sleepy Tooth Orthodontics)
• Fresenius Medical Care Northern Delaware, LLC (Fresenius Medical Care of Middletown)
• Irene Mankasibe Fuh
• Lacey Nicole Funk, FNP-C

• Prosthetic/Orthotic Supplier in Middletown, DE
• Providers in Middletown, DE by specialty
• Prosthetic/Orthotic Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.