Alexis Taylor Novak, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029875 Issued in PA

Practice address

350 Budfield St Ste B
Johnstown, PA 15904-3280

Phone

(814) 266-9919

NPI assigned

Jan 31, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2025.

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1821801903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 WILLIAM PENN AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091450",
            "telephone_number": "814-270-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BUDFIELD ST STE B",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043280",
            "telephone_number": "814-266-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 William Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159091450",
            "country_code": "US",
            "telephone_number": "814-270-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ALEXIS",
        "middle_name": "TAYLOR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Larry J Nulton, PHD

• All providers in Johnstown, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.