KIMBERLY ANN NOVAK (NPI# 1174173405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174173405 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN NOVAK |
| Practice Address |
10200 Kenai Spur Hwy Kenai AK 99611-7807 |
| Practice Telephone | 9072833658 |
| Mailing Telephone | 9072833658 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477731339 | Kimberly Novak | Physical Therapist | 240 Erial Rd, Pine Hill, NJ 08021-6242 | 2008-02-03 |
| 1073171765 | Kimberly H Novak | Social Worker | 213 E Chestnut St, Mount Vernon, OH 43050-3404 | 2019-05-29 |
| Street Address |
10200 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1174171417 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-08-29 |
| 1730740044 | Hailey A Bouton | Case Manager/Care Coordinator | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1376104687 | Diane Carol Ogilvie | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1285299792 | Joni Gray | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-09 |
| 1528623741 | Spring E Larrow | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-02 |
| 1053974725 | Jill Hildebrandt | Social Worker | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-18 |
| 1144782657 | Alecia Ann Gottlob | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-03 |
| 1174792972 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2008-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1215552526 | Joshua Dee Engle | Peer Specialist | 1419 S Kittiwake St, Wasilla, AK 99623-9302 | 2020-06-11 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1699399303 | Jennifer Benton | Peer Specialist | 11932 Town Park Cir, Eagle River, AK 99577-7788 | 2020-05-29 |
| 1104449800 | Aubrey Danielle Cave | Peer Specialist | 5752 W Kranberry Ln, Wasilla, AK 99623-1050 | 2020-05-28 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1629610563 | Mikko Joseph Barribeau | Peer Specialist | 2762 N Azurite Cir, Wasilla, AK 99654-4540 | 2019-10-11 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1285280784 | Zoe Dixon | Peer Specialist | 15765 Kingsley Rd, Ninilchik, AK 99639 | 2019-08-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.