Active NPI
Donna Novak, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Bethlehem, PA
National Provider Identifier
1033400767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- TP002035G
- Practice address
- 10 E Church St
Bethlehem, PA 18018-6005 - Phone
- (610) 865-7083
- Fax
- (610) 865-7326
- NPI assigned
- Apr 28, 2011
- Last updated
- Nov 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | TP002035G | PA | Primary |
Addresses
Primary practice location
10 E Church St
Bethlehem, PA 18018-6005
Mailing address
10 E Church St
Bethlehem, PA 18018-6005
Phone (610) 865-7083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP002035G | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Bethlehem | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448755200000",
"number": "1033400767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E CHURCH ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186005",
"telephone_number": "610-865-7083",
"fax_number": "610-865-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E CHURCH ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180186005",
"telephone_number": "610-865-7083",
"fax_number": "610-865-7326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "DONNA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2015-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "PA",
"license": "TP002035G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
- Northland Hearing Centers, Inc (Hear PA)
- Northland Hearing Centers, Inc. (NewSound Hearing Centers)
- Jaclyn Nothstein, FNP-C
- Patricia Anne Notte, RN
- Christopher Novak, M.D.
- Thomas Joseph Novak, DO
- Hanna Angelica Novobilski, M.A. CCC-SLP
- Novus Adult Care Services Inc.
- Novus Pharmacy Services
- Malek Georges Numeir, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.