Shonta L Isom, CENA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230010755210106 Issued in MI

Practice address

14929 Lindsay St
Detroit, MI 48227-4401

Phone

(248) 688-5080

Fax

(313) 340-2694

NPI assigned

Nov 17, 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

Other names 1

• Shonta L Trapp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Journey House LLC.

  • Home Health Agency
  • Detroit, MI
  • NPI 1891407516
  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1932818077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14929 LINDSAY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274401",
            "telephone_number": "248-688-5080",
            "fax_number": "313-340-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14929 LINDSAY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274401",
            "telephone_number": "248-688-5080",
            "fax_number": "313-340-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "SHONTA",
        "middle_name": "L",
        "credential": "CENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230010755210106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONTA",
            "last_name": "TRAPP",
            "middle_name": "L",
            "credential": "CENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Israa Ismail, MD,PHD
• Khalled Ismail
• Reem Ismail
• Sherry Lynn Ismail, RN
• Kimberly Ann Isola, LMSW
• Vanessa Isom
• Christyne Ison, CRNA
• Bayla Tara Baht Israel
• Jael Israel
• Joseph Israel

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.