Active NPI
Ashley Novak, NTP, RWS
- Nutritionist
- Denver, CO
National Provider Identifier
1659098655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 6197
- Practice address
- 138 W 5TH Ave
Denver, CO 80204-5105 - Phone
- (708) 305-1767
- NPI assigned
- Oct 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 6197 | CO | Primary |
Addresses
Primary practice location
138 W 5TH Ave
Denver, CO 80204-5105
Mailing address
1465 Ivanhoe St
Denver, CO 80220-2628
Phone (708) 305-1767
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 |
|---|---|---|---|
| 6197 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1659098655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 IVANHOE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802202628",
"telephone_number": "708-305-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W 5TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802045105",
"telephone_number": "708-305-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "ASHLEY",
"credential": "NTP, RWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CO",
"license": "6197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.