Kaitlin Elese Novak

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1337 Farmstead LN
Bolingbrook, IL 60490-5479

Phone

(630) 901-0629

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1891463204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S GLADSTONE AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 FARMSTEAD LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905479",
            "telephone_number": "630-901-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 S Gladstone Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064877",
            "country_code": "US",
            "telephone_number": "630-892-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KAITLIN",
        "middle_name": "ELESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Nikchevich, M.S., BCBA
• Tyler Nohren, ATC
• Stacie L Norrman, MA CCC SLP
• Amy L North
• Milad Nourahmadi, D.D.S.
• Emily Elizabeth Noxon
• Magdaleno S Nucum, DDS
• Kathryn Nunes
• Nurses on Calls, Inc.
• Nurturing and Inner-Growth Counseling, LLC

• Athletic Trainer in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.