Individual provider Active NPI

Shalonda Houchens, FNP

  • Family Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1235908054
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012599 Issued in DE
Practice address
702 Heritage Dr
Seaford, DE 19973-1119
Phone
(302) 727-3951
NPI assigned
Dec 20, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012599 DE Primary

Addresses

Primary practice location

702 Heritage Dr
Seaford, DE 19973-1119

Mailing address

702 Heritage Dr
Seaford, DE 19973-1119
Phone (302) 727-3951

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107004077 DE Practitioner - Nurse Practitioner 2062940885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware PhysiatryGroup PAC ID 0345644357, 13 clinicians

Practice addresses (Care Compare)

1221 College Park Dr
Suite 203
Dover, DE 19904-8727
Phone (302) 387-1407

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Physiatry CurrentSince Dec 26, 2024 Accepting new patients

Locations

1221 College Park Dr
Ste 203
Dover, DE 19904
Phone (302) 387-1407

34434 King Street Row
Ste 2
Lewes, DE 19958
Phone (302) 387-1407

79 Omega Dr
#C
Newark, DE 19713
Phone (302) 359-5678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1235908054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HERITAGE DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731119",
            "telephone_number": "302-727-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HERITAGE DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199731119",
            "telephone_number": "302-727-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCHENS",
        "first_name": "SHALONDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.