Individual provider Active NPI

Shea Marks Golonka, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1548076045
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035641 Issued in FL
Practice address
1100 Goodlette Rd
Naples, FL 34102-5451
Phone
(239) 434-0656
Fax
(239) 261-0060
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11035641 FL Primary

Addresses

Primary practice location

1100 Goodlette Rd
Naples, FL 34102-5451

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Other practice location 1

6716 Marbella Ln
Naples, FL 34105-5031
Phone (239) 919-4889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250123001474 FL Practitioner - Nurse Practitioner 0345779138 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035641FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Home MD CurrentSince Dec 1, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jan 16, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

1100 Goodlette Rd
Naples, FL 34102
Phone (239) 434-0656

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1548076045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOODLETTE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025451",
            "telephone_number": "239-434-0656",
            "fax_number": "239-261-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6716 Marbella Ln",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055031",
            "country_code": "US",
            "telephone_number": "239-919-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLONKA",
        "first_name": "SHEA",
        "middle_name": "MARKS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.