Individual provider Active NPI

Shanikka Harmon, NP

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1912795774
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0013363 Issued in DE
Practice address
908 E 16TH St Ste B
Wilmington, DE 19802-5145
Phone
(302) 575-1414
NPI assigned
Apr 30, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0013363 DE Primary

Addresses

Primary practice location

908 E 16TH St Ste B
Wilmington, DE 19802-5145

Mailing address

PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455

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
I20251122001197 DE Practitioner - Nurse Practitioner 4082106539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576

908 E 16TH St
Suite B
Wilmington, DE 19802-5145
Phone (302) 575-1414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0013363DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc CurrentSince Nov 11, 2025 Accepting new patients
Westside Family Healthcare, Inc. Current Accepting new patients

Locations

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1912795774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200151",
            "telephone_number": "302-652-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E 16TH ST STE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198025145",
            "telephone_number": "302-575-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "SHANIKKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.