SUSAN G NOVAK (NPI# 1841501590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841501590 |
Entity Type | Individual |
Full Name | SUSAN G NOVAK |
Credential | MSN, APRN |
Practice Address |
405 Fairgrounds Rd Tipton IN 46072-9596 |
Mailing Address |
800 Fulton St Logansport IN 46947-1577 |
Practice Telephone | 7654080536 |
Practice Fax Number | 7654080539 |
Mailing Telephone | 5742052600 |
Mailing Fax Number | 5747391414 |
Enumeration Date | 2010-06-28 |
Last Update Date | 2016-12-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
70000097A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 364S00000X | Clinical Nurse Specialist | 70000097A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134557077 | Susan Novak | Social Worker | 2303 Ardendale Ave, Akron, OH 44312-1301 | 2013-10-30 |
1013416858 | Susan Novak | Counselor | 26113 Oak Ridge Dr Ste A, The Woodlands, TX 77380-3493 | 2018-02-07 |
1093084162 | Susan Joy Novak | Psychologist | 23832 Rockfield Blvd, Ste 130, Lake Forest, CA 92630-2860 | 2011-12-20 |
1699951848 | Susan Diane Novak | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2008-01-18 |
1326262924 | Susan Jean Novak | Registered Nurse | 200 Boces Dr, Yorktown Heights, NY 10598-4321 | 2007-04-13 |
1720075021 | Susan P Novak | Obstetrics & Gynecology | 502 Madison Oak Dr, Suite 440, San Antonio, TX 78258-4084 | 2005-10-02 |
Street Address |
405 FAIRGROUNDS RD |
City | TIPTON |
State | IN |
Zip Code | 46072-9596 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912086638 | Janette R Link | Social Worker | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2006-11-03 |
1780223255 | Christine Marie Bixler | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2020-01-02 |
1336630441 | Elaine Elizabeth Davis | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2018-05-24 |
1013468735 | Justin Griswold | Counselor | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2016-10-18 |
1063813178 | Deborah Davidson | Nurse Practitioner | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2014-09-08 |
1164587242 | Catherine Herod | Psychiatry & Neurology | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2006-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235522863 | Christopher Anderson | Specialist/Technologist | 5580 St Rd 28, Tipton, IN 46072 | 2015-03-06 |
1205189347 | Christopher Tyler Smith | Physical Therapist | 1010 S Main St Ste 100, Tipton, IN 46072 | 2012-10-25 |
1750595765 | Indiana Health Centers, Inc. | Public Health or Welfare | Tipton County Wic Program, 119 West Washington Street, Tipton, IN 46072 | 2007-05-09 |
1700943156 | Michael E Harper Md PC | Family Medicine | 410 Fairgrounds Rd, Tipton, IN 46072 | 2007-01-03 |
1831158252 | Kevin R Worth | Optometrist | 214 E Jefferson St, Tipton, IN 46072 | 2006-03-23 |
1619137239 | Adam T Garner | Optometrist | 215 E Jefferson St, Tipton, IN 46072 | 2008-06-17 |
1831217918 | Tracey Powell | Chiropractor | 932 N Main St, Tipton, IN 46072-1047 | 2007-03-27 |
1538170840 | Cicero Township Volunteer Fire Department | Ambulance | 750 Development Dr, Tipton, IN 46072-1072 | 2006-08-11 |
1720243330 | Mary Delph | Physical Therapy Assistant | 433 Maple St, Tipton, IN 46072-1518 | 2008-07-23 |
1992702971 | Jeffrey L Tweedy | Optometrist | 132 N Main St, Tipton, IN 46072-1603 | 2005-07-05 |
Find all providers in zip 46072 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
Find all providers with the same taxonomy |
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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.