Active NPI
Roxanne R Novak, RN
- Registered Nurse
- Sitka, AK
National Provider Identifier
1396918900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28321
- Practice address
- 222 Tongass Dr
Sitka, AK 99835-9416 - Phone
- (907) 966-2411
- NPI assigned
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28321 | AK | Primary |
Addresses
Primary practice location
222 Tongass Dr
Sitka, AK 99835-9416
Mailing address
5316 Halibut Point Rd
Sitka, AK 99835-9508
Phone (907) 623-3979
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28321 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lrock Advanced Manufacturing LLC | Current | 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": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1396918900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 HALIBUT POINT RD",
"city": "SITKA",
"state": "AK",
"postal_code": "998359508",
"telephone_number": "907-623-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 TONGASS DR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359416",
"telephone_number": "907-966-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "ROXANNE",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "28321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.