Shaquonda Gongora, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN55177 Issued in NM

Practice address

5343 N. 16TH St Suite 270
Phoenix, AZ 85016

Phone

(480) 456-4400

NPI assigned

Apr 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• St Elizabeth Home Health Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1831410604
  NPD

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1003603879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 N. 16TH ST SUITE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 N. 16TH ST SUITE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "480-456-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONGORA",
        "first_name": "SHAQUONDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NM",
            "license": "RN55177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gondra Center for Reproductive Care & Advanced Gynecology
• Maria Mercedes Gondra, M.D.
• Abebe Molla Gonet, RPH
• Aleta Belinda Gong, O.D.
• Gerald D Gong, M.D.
• Janet Gonneville, OT
• Isabella Brianna Gonsalves, DMD
• Robert Gonsalves III, DO
• Gonstead Physical Medicine PC
• Miriam Lizet Gonthier, R.T.(R)(ARRT)

• Home Health Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.