Shamonica Kelley, MSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

764538 Issued in TX

Practice address

1204 Parkview TRL
Glenn Heights, TX 75154-8835

Phone

(215) 881-3000

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Cherish Your Body Beauty Bar

  • Health Maintenance Organization
  • Glenn Heights, TX
  • NPI 1881340719
  NPD Authorized official
• Cherished Care Homecare

  • In Home Supportive Care Agency
  • Glenn Heights, TX
  • NPI 1013537182
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1568118404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 PARKVIEW TRL",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548835",
            "telephone_number": "214-881-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 PARKVIEW TRL",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548835",
            "telephone_number": "215-881-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SHAMONICA",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "764538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jania Johnson
• Johnson'S Gentle Care Homes LLC
• Charles Lawrence Jones III, LMT
• Misty Lynn Jones, RD
• Jennifer Luvenia Jordan
• Kindness Worthy Home Care LLC
• Lcdccounseling
• Rhonda Jo Lee, RN
• Walter O Lewis
• Erica Little, LPC

• Registered Nurse in Glenn Heights, TX
• Providers in Glenn Heights, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.