Active NPI
Vanessa Novak, RN
- School Registered Nurse
- Saint Paul, MN
National Provider Identifier
1447046701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 2086938
- Practice address
- 2200 Buford Ave
Saint Paul, MN 55108-1468 - Phone
- (651) 888-7650
- Fax
- (651) 305-6787
- NPI assigned
- Apr 15, 2025
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 2086938 | MN | Primary |
Addresses
Primary practice location
2200 Buford Ave
Saint Paul, MN 55108-1468
Mailing address
1402 McKinley St
Saint Paul, MN 55108-2408
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 |
|---|---|---|---|
| 2086938 | MN | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1447046701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 MCKINLEY ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551082408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BUFORD AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081468",
"telephone_number": "651-888-7650",
"fax_number": "651-305-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "VANESSA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MN",
"license": "2086938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.