AMANDA NOVAK (NPI# 1609423110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609423110 |
| Entity Type | Individual |
| Full Name | AMANDA NOVAK |
| Practice Address |
1455 Dixon Ave Lafayette CO 80026-8879 |
| Practice Telephone | 3037174600 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932764628 | Amanda Nicole Novak | Nurse Practitioner | 166 Pasadena Dr Ste 100, Lexington, KY 40503-2974 | 2019-05-08 |
| 1962962670 | Amanda Novak | Pharmacist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-03-20 |
| 1326495896 | Amanda Novak | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-05-15 |
| 1689939746 | Amanda Bruce Novak | Nurse Practitioner | 1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 | 2012-07-05 |
| 1871853358 | Amanda Towery Novak | Pharmacist | 4875 Old York Rd, Rock Hill, SC 29732-8127 | 2012-05-18 |
| 1942594338 | Amanda Novak | Physician Assistant | 2373 64th St Sw, Ste 1200, Byron Center, MI 49315 | 2011-06-03 |
| Street Address |
1455 DIXON AVE |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-8879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093767543 | Mental Health Center of Boulder County, Inc. | Clinic/Center | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2006-05-16 |
| 1487255980 | Savannah J Pierce | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-11-03 |
| 1679172324 | Asia Jaworowska | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-23 |
| 1881293124 | Evelyn C Bean | Nurse's Aide | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-10-19 |
| 1861009904 | Rachel Pearl Vanetten | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-23 |
| 1043826258 | Erica Frances Martinez | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1851907042 | Ariana Gwen Cohn | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-22 |
| 1437765138 | Tova Selene Lipkin Sularz | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1992311765 | Anna Lynne Gilmour | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-17 |
| 1063028942 | Donna Jane Kruger | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726082 | Alyse Meaux | Student in an Organized Health Care Education/Training Program | 99 Wentworth Blvd, Lafayette, LA 70508-4862 | 2020-03-26 |
| 1780210682 | Katelyn Petitfils Joubert | Student in an Organized Health Care Education/Training Program | 112 Soho Cir, Lafayette, LA 70508-4200 | 2020-03-23 |
| 1568098911 | Nathan Fletcher | Student in an Organized Health Care Education/Training Program | 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 | 2020-03-18 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1841759099 | Jeremy White | Student in an Organized Health Care Education/Training Program | 109 Adonis Dr, Lafayette, LA 70506-5402 | 2019-03-18 |
| 1225597446 | Kelsey Doguet | Student in an Organized Health Care Education/Training Program | 109 Saint Michael St, Lafayette, LA 70506-4743 | 2019-03-18 |
| 1841755824 | Madison Tilley | Student in an Organized Health Care Education/Training Program | 3661 Stonegate Ct, Lafayette, IN 47909-7212 | 2019-02-05 |
| 1114491685 | Mallory Mancuso | Student in an Organized Health Care Education/Training Program | 110 Lana Dr, Lafayette, LA 70503-4505 | 2019-01-17 |
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on AMANDA NOVAK.
| 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.