Active NPI
Kenisha Delgado
- Licensed Practical Nurse
- Greenville, DE
National Provider Identifier
1942957386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L2-0010054
- Practice address
- 3842 Kennett Pike
Greenville, DE 19807-2302 - Phone
- (302) 290-6057
- NPI assigned
- Mar 6, 2022
- Last updated
- Mar 6, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0010054 | DE | Primary |
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
3842 Kennett Pike
Greenville, DE 19807-2302
Mailing address
3842 Kennett Pike
Greenville, DE 19807-2302
Phone (302) 290-6057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | DE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sculptinghouse.net | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0010054 | DE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646524800000",
"number": "1942957386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3842 KENNETT PIKE",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198072302",
"telephone_number": "302-290-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3842 KENNETT PIKE",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198072302",
"telephone_number": "302-290-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "KENISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-06",
"last_updated": "2022-03-06",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DE",
"license": "L2-0010054",
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sculptinghouse.net",
"affiliation": "N",
"endpointDescription": "Url",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3842 Kennett Pike",
"city": "Greenville",
"state": "DE",
"country_code": "US",
"postal_code": "198072302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, DE
- John J Chabalko, MD
- Christiana Care Health Services, Inc. (CCHS Wellness Ctr - AI Dupont HS)
- Christiana Care Quality Partners (ChristianaCare GoHealth Urgent Care)
- Lindsey M Davis, MD MPH
- Delaware Eye Associates PA
- Lois M. Dixon, AGNP
- James Michael Doherty, CRT, RCP
- Edward J. McConnell MD Inc.
- Terri Elbaum, SPEECH-LANGUAGE PATH
- Mark A Fortunato, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.