Tammy Ann Novotne, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP136712 Issued in TX

Practice address

7909 Fredericksburg Rd Ste 130
San Antonio, TX 78229-3425

Phone

(210) 614-4544

Fax

(210) 679-3713

NPI assigned

Aug 15, 2013

Last updated

Nov 20, 2020By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1215360052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293400",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNE",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012958",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novel Care Dental, PLLC
• Donald Allen Novian, PHD
• Donald Nathan Novick, M.D.
• Sydney Azalia Novoa, MA, LPC
• Callie Novosad, PA
• Joshua M. Novotny, NP
• Novum Therapy Partners, Inc.
• Novus Ordo (Physicians In-Home)
• Karen S Nowacek, LPCI
• Grace Elizabeth Galiga Nowlin

• Acute Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.