RENEE NOVAKOVICH


Address: 704 Adobe Dr, Santa Rosa, CA 95404-2706
Phone: 7072930136

RENEE NOVAKOVICH (NPI# 1316473697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316473697
Entity Type Individual
Full Name RENEE NOVAKOVICH
Credential FNP-C
Practice Address 704 Adobe Dr
Santa Rosa
CA 95404-2706
Practice Telephone 7072930136
Mailing Telephone 7072930136
Enumeration Date 2017-05-05
Last Update Date 2017-05-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
512827 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NURSE PRACTITIONER CERTIFICATE NP 95004969 01
CA NURSING FURNISHING NUMBER NPF 95004969 01

Office Location

Street Address 704 ADOBE DR
City SANTA ROSA
State CA
Zip Code 95404-2706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205442217 David Lee Dutton Counselor 201 S. E Street, Santa Rosa, CA 95404 2020-09-16
1114492162 Jesse Earl Rathbun Jr. Ophthalmology 1920 Grace Dr., Santa Rosa, CA 95404 2018-10-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1366940504 New Leaf Counseling and Psychotherapy Marriage & Family Therapist 1030 2n Street, Suite B, Santa Rosa, CA 95404 2018-01-23
1659884864 Jessica Vargas Lopez Counselor 3333 Chanate Road, Santa Rosa, CA 95404 2017-11-09
1982135992 Gaea Keridwyn Coon Marriage & Family Therapist 884 Third Street, Suite D, Santa Rosa, CA 95404 2017-03-22
1376084699 Empire Traditional Chinese Medicine Acupuncturist 1030 Second St, Santa Rosa, CA 95404 2017-03-20
1356888705 Webster Surgery Center, Lp Clinic/Center 730 Bennett Valley Road, Santa Rosa, CA 95404 2017-01-24
1205295979 Sandra Lee Krikorian Social Worker 101 E Street, Suite 312, Santa Rosa, CA 95404 2016-02-23
1396134615 The Center for Body Oriented Psychotherapy & Wellness Psychologist 1626 Fourth Street, Santa Rosa, CA 95404 2015-01-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780160234 Susan English Knowles Nurse Practitioner 3383 Airway Dr, Santa Rosa, CA 95403-2005 2018-07-18
1912498726 Lydia Ann Smith Nurse Practitioner 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 2018-05-29
1659870186 Shannon Cross Todd Nurse Practitioner 4729a Hoen Ave, Santa Rosa, CA 95405-7862 2018-02-11
1093222408 Mary Esther Andich Nurse Practitioner 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 2018-01-08
1780139634 Robin Shank Sanderson Nurse Practitioner 751 Lombardi, Santa Rosa, CA 95407 2016-08-22
1437549235 Jennifer Takagi Nurse Practitioner 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 2015-01-31
1164828828 Danielle J Daye Nurse Practitioner 50 Montgomery Dr, Santa Rosa, CA 95404-6615 2014-11-07
1609208354 Derrick Pelton Nurse Practitioner 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 2013-08-05
1225313869 Kristine Monson Brown Nurse Practitioner 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 2011-10-14
1689975153 Lydia Dominguez Nurse Practitioner Highway 107 & La Feria Ave., Santa Rosa, TX 78593 2010-11-15
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Competitor

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City SANTA ROSA
Zip Code 95404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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