Active NPI
Nura Sharma
- Family Medicine Physician
- Waterloo, IA
National Provider Identifier
1902540966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-12367
- Practice address
- 2500 Kimball Ave
Suite101
Waterloo, IA 50702 - Phone
- (319) 272-2529
- Fax
- (319) 272-2527
- NPI assigned
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-12367 | IA | Primary |
Addresses
Primary practice location
2500 Kimball Ave
Suite101
Waterloo, IA 50702
Mailing address
2500 Kimball Ave
Suite101
Waterloo, IA 50702
Phone (319) 272-2529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R-12367 | Other | IA | IOWA BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-12367 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1902540966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 KIMBALL AVE",
"address_2": "SUITE101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2529",
"fax_number": "319-272-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 KIMBALL AVE",
"address_2": "SUITE101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2529",
"fax_number": "319-272-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARMA",
"first_name": "NURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2022-04-26",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-12367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BOARD OF MEDICINE",
"identifier": "R-12367",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.