Noah Andrew Shonka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A176878 Issued in IA

Practice address

West Town Center, 3500 Dalton Wy
Suite 400
Cedar Rapids, IA 52404

Phone

(319) 369-4340

NPI assigned

Nov 6, 2023

Sex

Male

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

Enrolled in IA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1215700851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 RIDGEVIEW DR",
            "city": "ATKINS",
            "state": "IA",
            "postal_code": "522069641",
            "telephone_number": "319-389-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST TOWN CENTER, 3500 DALTON WY",
            "address_2": "SUITE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-369-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONKA",
        "first_name": "NOAH",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A176878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald J Shirk, MD
• Amanda Shirley, MS, BCBA, LBA
• Jyothi Shivakumar, MA, TLMFT
• Brooke Shivers, ARNP
• Shoemate Orthotics Corp.
• Anna Shudzeka, PMHNP
• Gary L. Shultz, D.O.
• Nancy L Sickelka, AUD
• Anna Agnes Siddall, T-LMFT
• Mollie Elizabeth Siebels, PHARMD

• Family Nurse Practitioner in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.