Novina Boulware-Brown

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1100 Solitude TRL Unit 3012
Reno, NV 89523-9257

Phone

(702) 883-7636

NPI assigned

Jan 7, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1083424667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOLITUDE TRL UNIT 3012",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOLITUDE TRL UNIT 3012",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239257",
            "telephone_number": "702-883-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULWARE-BROWN",
        "first_name": "NOVINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Farid Bou Merhi, MD
• Antoine A Boudoumit, M.D.
• Vanessa Bouey, MS, CFY-SLP
• Serena Bough, IBCLC
• Lisa Boughner
• Ashley Bousquet, FNP
• Lynn Robert Boutilier, PH.D.
• Vicki H Bovee, RD
• Joseph Bovill
• Jessica Ann Bowden, APRN, FNP-BC

• Student in an Organized Health Care Education/Training Program in Reno, NV
• Providers in Reno, NV by specialty
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.