Active NPI
Terrance Gerard Noonan, ATC
- Athletic Trainer
- Cedar Falls, IA
National Provider Identifier
1770524902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00123
- Practice address
- 2351 Hudson Road
HPC Room 003D University of Northern Iowa
Cedar Falls, IA 50613-6414 - Phone
- (319) 276-6414
- Fax
- (319) 273-7023
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 00123 | IA | |
| Athletic Trainer | 2255A2300X | 00123 | IA | Primary |
Addresses
Primary practice location
2351 Hudson Road
HPC Room 003D University of Northern Iowa
Cedar Falls, IA 50613-6414
Mailing address
3919 Beaver Ridge Trail
Cedar Falls, IA 50613
Phone (319) 268-9318
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00123 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1770524902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 BEAVER RIDGE TRAIL",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "50613",
"telephone_number": "319-268-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 HUDSON ROAD",
"address_2": "HPC ROOM 003D UNIVERSITY OF NORTHERN IOWA",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506136414",
"telephone_number": "319-276-6414",
"fax_number": "319-273-7023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "TERRANCE",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "IA",
"license": "00123",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.