Individual provider Active NPI

Kristin Marie Novic, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1114141777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051134 Issued in PA
Practice address
Allegheny General Hospital
320 East North Avenue, 6TH Floor, South Tower
Pittsburgh, PA 15212
Phone
(412) 359-5036
Fax
(412) 359-3305
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051134 PA Primary

Addresses

Primary practice location

Allegheny General Hospital
320 East North Avenue, 6TH Floor, South Tower
Pittsburgh, PA 15212

Mailing address

402 Pappan Drive
Imperial, PA 15126
Phone (724) 513-5678

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

LicenseStateTypeSpecialty
MA051134PAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114141777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PAPPAN DRIVE",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "15126",
            "telephone_number": "724-513-5678",
            "fax_number": "724-695-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLEGHENY GENERAL HOSPITAL",
            "address_2": "320 EAST NORTH AVENUE, 6TH FLOOR, SOUTH TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-359-5036",
            "fax_number": "412-359-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIC",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.