Individual provider Active NPI

Amber Michele Novak, LAC, LMT

  • Acupuncturist
  • Lewes, DE
National Provider Identifier
1326217613
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CQ-0000049 Issued in DE
Practice address
1143 Savannah Rd Ste 4
Lewes, DE 19958-1524
Phone
(302) 503-2294
Fax
(302) 644-2272
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00003075 WA
Massage Therapist 225700000X MA00024009 WA
Acupuncturist 171100000X CQ-0000049 DE Primary
Massage Therapist 225700000X MT-0004161 DE

Addresses

Primary practice location

1143 Savannah Rd Ste 4
Lewes, DE 19958-1524

Mailing address

17444 Slipper Shell Way Unit 7
Lewes, DE 19958-6317
Phone (302) 503-2294

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

LicenseStateTypeSpecialty
CQ-0000049DEMDAcupuncturist
AC00003075WAMDAcupuncturist
MT-0004161DEMDMassage Therapist
MA00024009WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebs Healthcare Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1326217613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17444 SLIPPER SHELL WAY UNIT 7",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586317",
            "telephone_number": "302-503-2294",
            "fax_number": "302-644-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 SAVANNAH RD STE 4",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581524",
            "telephone_number": "302-503-2294",
            "fax_number": "302-644-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "AMBER",
        "middle_name": "MICHELE",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003075",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024009",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DE",
            "license": "CQ-0000049",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "MT-0004161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.