SHAAKIRA LATEEFA ABDUL RAZZAQ (NPI# 1073028189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028189 |
| Entity Type | Individual |
| Full Name | SHAAKIRA LATEEFA ABDUL RAZZAQ |
| Practice Address |
501 W 14th St Wilmington DE 19801-1013 |
| Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
| Practice Telephone | 3024284410 |
| Practice Fax Number | 3024284078 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR16163700 | NJ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | L1-0051446 | DE | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00753400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0001093 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 W 14TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226630 | James M Ellison | Psychiatry & Neurology | 501 W 14th St, Swank Memory Care Center, Gateway Bldg, 5th Floor, Wilmington, DE 19801-1013 | 2005-06-21 |
| 1780203497 | Shruti Nadkarni | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-13 |
| 1548889371 | Brianna Taylor Rafetto | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-12 |
| 1649899634 | Natalie Sarah Khan | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-10 |
| 1194354712 | Aesha Amin | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-04-06 |
| 1760010326 | Erin Elizabeth Royal | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1902434640 | Austin D Hager | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-30 |
| 1922635606 | John Facciolo | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1053948661 | Shashi Prabha | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| 1265069892 | Katherine Ong | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488428 | Samantha Kuhlman | Nurse Practitioner | 1509 Doctors Cir Bldg C, Wilmington, NC 28401-7403 | 2020-08-21 |
| 1023630290 | Carole King Stevenson | Nurse Practitioner | 1111 Figueroa Pl # Tech115, Wilmington, CA 90744-2311 | 2020-05-11 |
| 1962031039 | Jasmine Marie Locklear | Nurse Practitioner | 2550 41st St, Wilmington, NC 28403-5519 | 2020-04-02 |
| 1811558422 | Emma Rose Boisvert I | Nurse Practitioner | Deerfield Valley Health Center, 30 Route 100 South, Wilmington, VT 05363-0536 | 2019-06-25 |
| 1922569482 | Joy Peterson | Nurse Practitioner | 1815 W 13th St Ste 1, Wilmington, DE 19806-4054 | 2019-03-27 |
| 1104382308 | Caitlin Gallagher | Nurse Practitioner | 608 Dawson St Ste 103, Wilmington, NC 28401-5712 | 2019-02-13 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1538674767 | Angela M Mcnulty | Nurse Practitioner | 3521 Silverside Rd Ste 1c, Wilmington, DE 19810-4900 | 2017-12-11 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1952825168 | Alicia Camille Vogleson | Nurse Practitioner | 2601 Annand Dr Ste 3, Wilmington, DE 19808-3719 | 2017-07-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on SHAAKIRA LATEEFA ABDUL RAZZAQ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.