SHANTEL KIMBERLY DE LEON LVN - NPI 1306488531 - Licensed Vocational Nurse in Santa Monica, CA

Q: What is Shantel De Leon's NPI number?

The NPI number for Shantel De Leon is 1306488531. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Q: What is Shantel De Leon's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Shantel De Leon was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Shantel Kimberly De Leon Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANTEL KIMBERLY DE LEON LVN (NPI 1306488531) is an individual licensed vocational nurse in Santa Monica, California, licensed in California (694951) and active in the NPI registry since October 2019. She maintains a secondary practice location in Santa Monica.

NPPES Registry Identity

NPI1306488531

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameSHANTEL KIMBERLY DE LEONCredential: LVN

Location Address2644 30TH ST STE 100Santa Monica, CA 90405-3051

Mailing Address2644 30th StSanta Monica, CA 90405-3060 · (310) 314-6200 · Fax (310) 450-2024

Phone(310) 314-6200

Sole ProprietorYes

Enumeration DateOctober 9, 2019

Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration

✔ NPI 1306488531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 694951

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedContractorTaxonomy 171W00000X

2644 30TH ST STE 100, Santa Monica, CA 90405

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Secondary Practice Location 1

Location 11865 9th stSanta Monica, CA 90404 · Phone (310) 314-6200

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA NEE

Clinic/Center (Research)