Allen Novak, A.P.R.N.

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN-20223 Issued in HI

Practice address

122 Haili St
Hilo, HI 96720-2804

Phone

(808) 934-9071

Fax

(808) 934-9071

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• John a Heaster

  • Psychiatry Physician
  • Hilo, HI
  • NPI 1629875349
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1174528509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HAILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202804",
            "telephone_number": "808-934-9071",
            "fax_number": "808-934-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HAILI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202804",
            "telephone_number": "808-934-9071",
            "fax_number": "808-934-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "RN-20223",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "HI",
            "license": "RN-20223",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "RN-20223",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "422-91",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544925",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Nishimoto, APRN
• Laurel Ann Kasamoto Nishimura, PHYSICAL THERAPIST
• Sheri Nishimura
• Frederick Alan Nitta, M.D.
• Joyce Margaret Norris-Taylor, DNP, APRN-RX, NP-C
• Tricia Arlene Novido, PHD
• NT Therapy, LLC
• Kyle Nugent
• Jennifer R Nunez-Kemp, M.A.
• Anne Nuttall, LMT

• Psychiatric/Mental Health Clinical Nurse Specialist in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.