MRS. COLLEEN JEAN NOVAK (NPI# 1952645251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952645251 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN JEAN NOVAK |
| Credential | MA CCC-SLP |
| Practice Address |
5015 E. 29th Street North 'entrance T' Wichita KS 67220 |
| Mailing Address |
1845 Fairmount Wichita KS 67260-0099 |
| Practice Telephone | 3169783289 |
| Practice Fax Number | 3169787264 |
| Mailing Telephone | 3169783289 |
| Mailing Fax Number | 3169787264 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265468 | Colleen M Novak | Social Worker | 200 Gaywood Rd, Baltimore, MD 21212-1709 | 2017-06-21 |
| Street Address |
5015 E. 29TH STREET NORTH 'ENTRANCE T' |
| City | WICHITA |
| State | KS |
| Zip Code | 67220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437414430 | Daiquirie Crumrine | Speech-Language Pathologist | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| 1447515440 | Mark Shaver | Audiologist-Hearing Aid Fitter | 5015 E. 29th Street North, 'entrance T', Wichita, KS 67220 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
| 1972068252 | Cynthia Mccormick Richburg | Audiologist | 5015 E 29th St N Entrance T, Wsu Speech Language Hearing Clinic, Wichita, KS 67220 | 2019-01-31 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1578811089 | Jason James | Student in an Organized Health Care Education/Training Program | 2838 N. Oliver Street, Wichita, KS 67220 | 2012-08-15 |
| 1790843449 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3975 N Woodlawn Ct, Bel Aire, KS 67220 | 2006-12-05 |
| 1568402352 | Dillon Companies LLC | Pharmacy | 3707 N Woodlawn Blvd, Wichita, KS 67220 | 2006-06-08 |
| 1356349443 | Kimberley Clothier | Physician Assistant | 3715 N Oliver St, Wichita, KS 67220 | 2005-07-12 |
| Find all providers in zip 67220 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539640 | Elizabeth Marie Bayless | Speech-Language Pathologist | 14009 W Texas Cir, Wichita, KS 67235-9155 | 2020-08-17 |
| 1346897436 | Tonya Marchand | Speech-Language Pathologist | 206 N Gateway Cir, Wichita, KS 67230-7912 | 2019-08-22 |
| 1033778915 | Sonja Nicole Holle | Speech-Language Pathologist | Wsu Speech Language Healing Clinic, 5015 E 29th St. N, Entrance T, Wichita, KS 67220 | 2019-06-13 |
| 1740742774 | Annarose Friesen | Speech-Language Pathologist | 1655 S Georgetown St, Wichita, KS 67218-4140 | 2019-03-31 |
| 1407320567 | Maggie Porter | Speech-Language Pathologist | 7627 E 37th St N Apt 802, Wichita, KS 67226-2803 | 2019-01-11 |
| 1477067486 | Holly D Taylor | Speech-Language Pathologist | 1999 N Amidon Ave Ste 110, Wichita, KS 67203-2122 | 2017-11-29 |
| 1265953962 | Devon Frances Andra | Speech-Language Pathologist | 101 N Ridge Rd Ste 6, Wichita, KS 67212-3367 | 2017-07-03 |
| 1023561784 | Teresa L Spencer | Speech-Language Pathologist | 1424 N Stoney Point St # 1270, Wichita, KS 67212-1270 | 2016-07-29 |
| 1992155147 | Marcus Burgardt | Speech-Language Pathologist | 332 S Belmont St, Wichita, KS 67218-1306 | 2016-06-20 |
| 1902256969 | Holly Lyons | Speech-Language Pathologist | 303 N Dellrose St, Wichita, KS 67208-3925 | 2016-06-20 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on MRS. COLLEEN JEAN 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.