Individual provider Active NPI

Sonja Marie Sharp, R.N., C.N.P.

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1124259205
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
177400-5 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone
(800) 268-9150
Fax
(651) 696-5543
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F156442 IA
Women's Health Nurse Practitioner 363LW0102X 112905 NE
Women's Health Nurse Practitioner 363LW0102X CP001220 SD
Women's Health Nurse Practitioner 363LW0102X 177400-5 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Mailing address

671 Vandalia St
Saint Paul, MN 55114-1312
Phone (800) 268-9150

Other practice location 1

5631 S 48th St Ste 100
Lincoln, NE 68516-4107
Phone (402) 441-3300

Other practice location 2

2304 University Ave
Des Moines, IA 50311-4316
Phone (515) 280-7002

Other practice location 3

6511 W 41st St
Sioux Falls, SD 57106-1286
Phone (800) 268-9150

Other names 1

  • Sonja Marie Moench Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110112000136 MN Practitioner - Nurse Practitioner 2860681574 Reassigns benefits to 1 organization
I20230328001220 IA Practitioner - Nurse Practitioner 2860681574 Reassigns benefits to 1 organization
I20230412002465 NE Practitioner - Nurse Practitioner 2860681574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F156442IAMDWomen's Health Nurse Practitioner
177400-5MNMDWomen's Health Nurse Practitioner
112905NEMDWomen's Health Nurse Practitioner
CP001220SDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Aug 11, 2010 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota Past Accepting new patients

Locations

6900 78th Ave N
Ste 103
Brooklyn Park, MN 55445

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

3105 N 93rd St
Omaha, NE 68134
Phone (402) 496-0088

6511 W 41st St
Sioux Falls, SD 57106
Phone (605) 361-5100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1124259205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "800-268-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "800-268-9150",
            "fax_number": "651-696-5543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5631 S 48th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685164107",
            "country_code": "US",
            "telephone_number": "402-441-3300",
            "fax_number": "402-441-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2304 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503114316",
            "country_code": "US",
            "telephone_number": "515-280-7002",
            "fax_number": "515-284-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6511 W 41st St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571061286",
            "country_code": "US",
            "telephone_number": "800-268-9150",
            "fax_number": "651-696-5543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "SONJA",
        "middle_name": "MARIE",
        "credential": "R.N., C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F156442",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "112905",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SD",
            "license": "CP001220",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "177400-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "MOENCH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.