Active NPI
Hollie T Noveletsky, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Danvers, MA
National Provider Identifier
1881649283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R051152
- Practice address
- 75 Lindall St
Danvers, MA 01923-2121 - Phone
- (978) 774-4400
- Fax
- (617) 244-1827
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 035703-23-06 | NH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R051152 | ME | Primary |
Addresses
Primary practice location
75 Lindall St
Danvers, MA 01923-2121
Mailing address
66 Southside Rd
York, ME 03909-5117
Phone (207) 363-9231
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005926 | Medicaid | NH | |
| 079051 | Other | ME | BC/BS |
| 431895999 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R051152 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1881649283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 SOUTHSIDE RD",
"city": "YORK",
"state": "ME",
"postal_code": "039095117",
"telephone_number": "207-363-9231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 LINDALL ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232121",
"telephone_number": "978-774-4400",
"fax_number": "617-244-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVELETSKY",
"first_name": "HOLLIE",
"middle_name": "T",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "035703-23-06",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "R051152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30005926",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "079051",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431895999",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.