Individual provider Active NPI

Rachel Joy Novak, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1366695413
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7977 Issued in AZ
Practice address
1951 N Wilmot Rd Ste 3a
Tucson, AZ 85712-8000
Phone
(520) 390-2966
NPI assigned
Nov 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7977 AZ Primary

Addresses

Primary practice location

1951 N Wilmot Rd Ste 3a
Tucson, AZ 85712-8000

Mailing address

1951 N Wilmot Rd Ste 3a
Tucson, AZ 85712-8000
Phone (520) 390-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000421 AZ Practitioner - Chiropractic 8628223526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7977AZMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Life Chiropractic & Wellness LLC Chiropractor CurrentSince Dec 12, 2024 Accepting new patients

Locations

6501 E Grant Rd
Tucson, AZ 85715
Phone (520) 661-8366

64 N Harrison Rd
Tucson, AZ 85748
Phone (520) 390-2966

1951 N Wilmot Rd
Ste 3A
Tucson, AZ 85712
Phone (520) 390-2966

1951 N Wilmot Rd
Ste 3
Tucson, AZ 85712
Phone (520) 327-9573

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": "1225497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1366695413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD STE 3A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-390-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD STE 3A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-390-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "RACHEL",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-01",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.