Individual provider Active NPI

Lily Sierra Novak, AUD

  • Audiologist
  • Gig Harbor, WA
National Provider Identifier
1962125252
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD61345991 Issued in WA
Practice address
4700 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1706
Phone
(253) 851-3932
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X LD61345991 WA Primary

Addresses

Primary practice location

4700 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr Ste 212
Gig Harbor, WA 98335-1706
Phone (253) 851-3932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208001073 WA Practitioner - Qualified Audiologist 1557730918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor Audiology and Hearing Services IncGroup PAC ID 5597746727, 9 clinicians

Practice addresses (Care Compare)

1901 S 72ND St
Suite A14
Tacoma, WA 98408-1200
Phone (253) 471-4394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD61345991WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Audiology & Hearing Services Inc Audiologist CurrentSince Feb 16, 2023 Accepting new patients
Hear-N-Now Hearing Aid Center PastSince Feb 16, 2023 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 212
Gig Harbor, WA 98335
Phone (253) 851-3932

902 E 1st St
Ste B
Port Angeles, WA 98362
Phone (360) 362-7455

538 N 5th Ave
Sequim, WA 98382
Phone (360) 681-7500

3100 NW Bucklin Hill Rd
Ste 103
Silverdale, WA 98383
Phone (360) 692-6650

1901 S 72nd St
Ste A14
Tacoma, WA 98408
Phone (253) 471-0743

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1962125252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 212",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LILY",
        "middle_name": "SIERRA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD61345991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.