Alessandra F Novak, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-AT-10129425 Issued in OR

Practice address

4833 NE 28TH Ave
Portland, OR 97211-6334

Phone

(510) 220-5637

NPI assigned

Jan 18, 2016

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 names 1

• Ms. Alessandra F Nachman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1417314709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116334",
            "telephone_number": "510-220-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116334",
            "telephone_number": "510-220-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ALESSANDRA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-AT-10129425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALESSANDRA",
            "last_name": "NACHMAN",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nourishing Medicine, Inc.
• Nova Counseling and Consulting LLC
• Madison Novacek
• Craig Martin Novack, M.D.
• Jennifer Novack
• Jennifer Novak, ND
• Melinda Novak, DC
• Rose Novak
• Amy Bethprana Novi, LCSW
• Novo Wellness Center LLC

• Athletic Trainer in Portland, OR
• Providers in Portland, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.