Individual provider Active NPI

Nancy L Sickelka, AUD

  • Audiologist
  • Cedar Rapids, IA
National Provider Identifier
1356597397
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
309 Issued in IA
Practice address
1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452
Phone
(319) 286-8782
Fax
(319) 286-8798
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 523 IA
Audiologist 231H00000X 309 IA Primary

Addresses

Primary practice location

1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452

Mailing address

1825 - 29TH St NE
Ste a
Cedar Rapids, IA 52402-3452
Phone (319) 286-8782

Other identifiers 2

IdentifierTypeStateIssuer
7739065OtherAETNA
F228696OtherMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
309IAMDAudiologist
523IAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Rapids Hearing Center Audiologist Current Accepting new patients

Locations

1825 29th St NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 246-8782

Organizations & group practices 1

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1356597397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 - 29TH ST NE",
            "address_2": "STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023452",
            "telephone_number": "319-286-8782",
            "fax_number": "319-286-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 - 29TH ST NE",
            "address_2": "STE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023452",
            "telephone_number": "319-286-8782",
            "fax_number": "319-286-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELKA",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2024-03-21",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "523",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7739065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F228696",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.