Leasa C Novotny, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

271 Sheridan Forest Rd Apt 1200
Goldsboro, NC 27534-7155

Phone

(785) 213-4505

NPI assigned

Mar 23, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1811211642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S 8TH ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SHERIDAN FOREST RD APT 1200",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347155",
            "telephone_number": "785-213-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "LEASA",
        "middle_name": "C",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova-Ic, Inc.
• Nova-Ic, Inc.
• Nova-Ic, Inc.
• Nova-Ic, Inc.
• Audrey Celeste Novchich, FNP
• Glen A Nowachek, MD
• Roger Jerome Nunes, ED.D.
• Lesley Nunn, FNP
• Marie Harvin Nyberg, RD, LDN
• Broderick Nykaza

• Independent Duty Medical Technicians in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Independent Duty Medical Technicians in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.