Marcia G Novak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28393 Issued in TX

Practice address

7900 FM 1826
Austin, TX 78737-1407

Phone

(512) 324-7000

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528041993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FM 1826",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-324-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FM 1826",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-324-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 Medical Pkwy",
            "address_2": "Suite 570",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051019",
            "country_code": "US",
            "telephone_number": "512-454-2454",
            "fax_number": "512-454-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MARCIA",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "28393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152137901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528041993",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82435U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nourished Roots LLC
• Nova Health Systems Inc
• Nova Strand Diagnostics
• Novabridge Medical LLC
• Jeffrey M. Novak, D.M.D.
• Michaela Thompson Novak, OD
• Noverixy LLC
• Tessa Kimberly Novick, M.D., M.S.W
• Lori Novicki
• Modesty Novin, LPC

• All providers in Austin, TX
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.