Active NPI
Jessica Lynn Spratt Novak, AUD
- Audiologist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9298
- Practice address
- 345 North Smith Avenue
St. Paul, MN 55102 - Phone
- (651) 220-6000
- NPI assigned
- May 22, 2014
- Last updated
- Mar 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80557 | TX | |
| Audiologist | 231H00000X | 9298 | MN | Primary |
Addresses
Primary practice location
345 North Smith Avenue
St. Paul, MN 55102
Mailing address
5901 Lincoln Drive
CBC 2 Rev/Pe
Edina, MN 55436-1611
Phone (952) 992-5691
Other names 1
- Jessica Lynn Spratt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80557 | TX | MD | Professional Counselor |
| 9298 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care Services Inc | Past | Accepting new patients |
Locations
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Wyoming, MN
- NPI 1134280035
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Childrens Minnetonka
- Ambulatory Surgical Clinic/Center
- Minnetonka, MN
- NPI 1952405284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1497167506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 LINCOLN DRIVE",
"address_2": "CBC 2 REV/PE",
"city": "EDINA",
"state": "MN",
"postal_code": "554361611",
"telephone_number": "952-992-5691",
"fax_number": "952-992-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTH SMITH AVENUE",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "JESSICA",
"middle_name": "LYNN SPRATT",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-22",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80557",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "9298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SPRATT",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 30, 2018; 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.