Individual provider Active NPI

Rachel Novinc, LCPO

  • Prosthetist
  • Cleveland, OH
National Provider Identifier
1700612645
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
LPO.00402 Issued in OH
Practice address
4625 Detroit Ave
Cleveland, OH 44102-2295
Phone
(216) 651-7788
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X LPO.00402 OH
Prosthetist 224P00000X LPO.00402 OH Primary

Addresses

Primary practice location

4625 Detroit Ave
Cleveland, OH 44102-2295

Mailing address

4625 Detroit Ave
Cleveland, OH 44102-2295
Phone (216) 651-7788

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

LicenseStateTypeSpecialty
LPO.00402OHMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1700612645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022295",
            "telephone_number": "216-651-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022295",
            "telephone_number": "216-651-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINC",
        "first_name": "RACHEL",
        "credential": "LCPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LPO.00402",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LPO.00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.