Active NPI
Julayne C Novak, RNC
- Non-Surgical Family Planning Clinic/Center
- Manitowoc, WI
National Provider Identifier
1255623310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Surgical Family Planning Clinic/Center
- License
- 65203-30
- Practice address
- 1100 S 30TH St
Manitowoc, WI 54220-5594 - Phone
- (920) 684-1332
- Fax
- (920) 684-3651
- NPI assigned
- May 9, 2011
- 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 |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | 65203-30 | WI | Primary |
Addresses
Primary practice location
1100 S 30TH St
Manitowoc, WI 54220-5594
Mailing address
1100 S 30TH St
Manitowoc, WI 54220-5594
Phone (920) 684-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42007500 | Medicaid | WI |
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 |
|---|---|---|---|
| 65203-30 | WI | MD | Non-Surgical Family Planning Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1255623310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S 30TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205594",
"telephone_number": "920-684-1332",
"fax_number": "920-684-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S 30TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205594",
"telephone_number": "920-684-1332",
"fax_number": "920-684-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "JULAYNE",
"middle_name": "C",
"credential": "RNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "WI",
"license": "65203-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42007500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.