Novena Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NOVENA MEDICAL, INC

Practice address

8518 S 104TH St
La Vista, NE 68128-3236

Phone

(877) 206-0997

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jake Hinton

Title

President

Phone

(877) 206-0997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1871243832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 460635",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "68046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 S 104TH ST",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283236",
            "telephone_number": "877-206-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVENA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-206-0997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Snyder, D.C., P.C.
• Brette Nicholson
• Robert Burke Noel, DDS
• Allison Norris
• Samantha Marie Novak
• Brittany Nicole Nunn
• Nyayual Lul Nyang
• Nyaduoth Nyel
• Brooke M Nykamp
• Bryanna Olson

• Durable Medical Equipment & Medical Supplies in La Vista, NE
• Providers in La Vista, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.