McKenna Lynn Novak, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102120 Issued in IA

Practice address

13300 Hickman Rd Ste 110
Clive, IA 50325-8616

Phone

(515) 987-8835

NPI assigned

Jan 6, 2021

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tiny Tongues Therapy, LLC

  • Feeding, Eating & Swallowing Occupational Therapist
  • West Des Moines, IA
  • NPI 1336025691
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1558959486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 41ST ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112519",
            "telephone_number": "515-321-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 HICKMAN RD STE 110",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258616",
            "telephone_number": "515-987-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MCKENNA",
        "middle_name": "LYNN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "102120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@metrowestkids.com",
            "affiliation": "N",
            "address_1": "13300 Hickman Rd Ste 110",
            "city": "Clive",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503258616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew David Nish, M.D.
• Lindy A Nordstrom, ARNP
• Lonnie James Norgaard, ARNP
• Amy Elizabeth Nothdurft Staples, BS, IADC
• Nourish DSM, LLC
• Linda Marie Novotny, RPH
• Nsight Innovations
• Jacquelin Rae Nussbaum, RPH
• Laura A Nydam, LMSW
• Andrew John O'Bleness, DC

• Occupational Therapist in Clive, IA
• Providers in Clive, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.