Active NPI
Dynesha Kerkula, RN
- Diabetes Educator Registered Nurse
- Wilmington, DE
National Provider Identifier
1508691619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- L1-0050582
- Practice address
- 501 W 14TH St
Wilmington, DE 19801-1013 - Phone
- (302) 661-3070
- Fax
- (302) 320-7327
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | L1-0050582 | DE | Primary |
Addresses
Primary practice location
501 W 14TH St
Wilmington, DE 19801-1013
Mailing address
29 W Radison Run
Clayton, DE 19938-3830
Other practice location 1
100 S Main St Ste 200
Smyrna, DE 19977-1479
Phone (302) 661-3070
Other practice location 2
300 Biddle Ave
Newark, DE 19702-3969
Phone (302) 661-3070
Other practice location 3
4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 661-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0050582 | DE | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1508691619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 W RADISON RUN",
"city": "CLAYTON",
"state": "DE",
"postal_code": "199383830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 14TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011013",
"telephone_number": "302-661-3070",
"fax_number": "302-320-7327"
}
],
"practiceLocations": [
{
"address_1": "100 S Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "DE",
"postal_code": "199771479",
"country_code": "US",
"telephone_number": "302-661-3070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Biddle Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197023969",
"country_code": "US",
"telephone_number": "302-661-3070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4735 Ogletown Stanton Rd",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132072",
"country_code": "US",
"telephone_number": "302-661-3070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERKULA",
"first_name": "DYNESHA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "DE",
"license": "L1-0050582",
"primary": true
}
],
"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 Sep 6, 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.