Renee Novakovich, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

512827 Issued in CA

Practice address

704 Adobe Dr
Santa Rosa, CA 95404-2706

Phone

(707) 293-0136

NPI assigned

May 5, 2017

Last updated

May 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1316473697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ADOBE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042706",
            "telephone_number": "707-293-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ADOBE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042706",
            "telephone_number": "707-293-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKOVICH",
        "first_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "512827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER CERTIFICATE",
            "identifier": "NP 95004969",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING FURNISHING NUMBER",
            "identifier": "NPF 95004969",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Rose Noton
• Selena Nourigna
• Alicia Nourse, MFT
• Novacare Outpatient Rehabilitation of California Inc (NovaCare Outpatient Rehabilitation)
• Justin Novak
• Novamed Surgery Center of Santa Rosa, LLC
• Sherry Ann Novi
• Erin Noviana, RPH (PHARMACIST)
• Michael Bastien Nowak
• NSRT Enterprises

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.