Active NPI
Janice Renee Corr Novak, LAC
- Acupuncturist
- Timonium, MD
National Provider Identifier
1457052367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01228
- Practice address
- 2065 York Rd
Timonium, MD 21093 - Phone
- (443) 421-1964
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01228 | MD | Primary |
Addresses
Primary practice location
2065 York Rd
Timonium, MD 21093
Mailing address
2065 York Rd
Timonium, MD 21093
Phone (443) 421-1964
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
| License | State | Type | Specialty |
|---|---|---|---|
| U01228 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1457052367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2065 YORK RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "21093",
"telephone_number": "443-421-1964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 YORK RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "21093",
"telephone_number": "443-421-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "JANICE",
"middle_name": "RENEE CORR",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.