Wendy Diane Novak, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

68434 Issued in TN

Practice address

214 W Longview Dr
Portland, TN 37148-1641

Phone

(615) 406-0662

Fax

(615) 325-5549

NPI assigned

Aug 30, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1578045134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W LONGVIEW DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481641",
            "telephone_number": "615-406-0662",
            "fax_number": "615-325-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W LONGVIEW DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481641",
            "telephone_number": "615-406-0662",
            "fax_number": "615-325-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "WENDY",
        "middle_name": "DIANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "68434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMNER COUNTY HEALTH DEPARTMENT",
            "identifier": "163WC1500X",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanne Moore, LMFT
• Renee Ashley Moss, RPH
• Shane Mouser, PHARM.D.
• N Middle TN Emergency Physicians PLLC
• Lisa Nazarenus, APN
• Nulife Physical Therapy Inc.
• Oasis Solutions LLC
• One to One Health PLLC
• Matthew D. Orewiler, RPH
• Paul R Porter MD

• All providers in Portland, TN
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.