Active NPI
Dijana Novak
- Acupuncturist
- Lake Forest Park, WA
National Provider Identifier
1245638949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60525308
- Practice address
- 18724 35TH Ave NE
Lake Forest Park, WA 98155 - Phone
- (206) 364-1481
- Fax
- (844) 291-7711
- NPI assigned
- Dec 11, 2014
- Last updated
- Aug 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60525308 | WA | Primary |
Addresses
Primary practice location
18724 35TH Ave NE
Lake Forest Park, WA 98155
Mailing address
18724 35TH Ave NE
Lake Forest Park, WA 98155-2602
Phone (206) 364-1481
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 |
|---|---|---|---|
| AC60525308 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1245638949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18724 35TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981552602",
"telephone_number": "206-364-1481",
"fax_number": "844-291-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18724 35TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "98155",
"telephone_number": "206-364-1481",
"fax_number": "844-291-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "DIJANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60525308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.