Kathleen Novak, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN.328998 Issued in OH

Practice address

10725 Old Pond Dr
Montgomery, OH 45249-3532

Phone

(513) 520-9639

NPI assigned

Nov 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1003385048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 ALLENHURST BLVD E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416619",
            "telephone_number": "513-252-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 OLD POND DR",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452493532",
            "telephone_number": "513-520-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "RN.328998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Pathways Cincinnati LLC
• Faraze Amir Niazi, MD
• Alexander Niehaus, PHARMD
• Adrian James Nix
• Emily Kate Noehring, AGPCNP-BC
• Jacob A Nysather, DO
• O & P Options LLC
• Ryan O'Connor
• Casey Andrew Ogburn, M.D.
• Ohio CVS Stores LLC

• Pediatric Registered Nurse in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Pediatric Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.