Individual provider Active NPI

Roberto Ernesto Novo, DVM, MS, DACVS

  • Veterinarian
  • Vancouver, WA
National Provider Identifier
1811272131
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT60149594 Issued in WA
Practice address
6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357
Phone
(360) 694-3007
Fax
(360) 735-7420
NPI assigned
Oct 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT60149594 WA Primary

Addresses

Primary practice location

6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357

Mailing address

6818 NE Fourth Plain Blvd Ste C
Vancouver, WA 98661-7357
Phone (360) 694-3007

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
VT60149594WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1811272131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 NE FOURTH PLAIN BLVD STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617357",
            "telephone_number": "360-694-3007",
            "fax_number": "360-735-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 NE FOURTH PLAIN BLVD STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617357",
            "telephone_number": "360-694-3007",
            "fax_number": "360-735-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVO",
        "first_name": "ROBERTO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "DVM, MS, DACVS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT60149594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.