MRS. REBECCA WYNNE NOVACK (NPI# 1194061523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194061523 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA WYNNE NOVACK |
| Practice Address |
9601 Interstate 630 Exit 7 Little Rock AR 72205-7202 |
| Mailing Address |
11001 Executive Center Dr Suite 200 Little Rock AR 72211-4316 |
| Practice Telephone | 5012022093 |
| Practice Fax Number | 5012026316 |
| Mailing Telephone | 5012022093 |
| Mailing Fax Number | 5012026316 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2013-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C002941 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R081455 | AR | Student, Health Care |
| Street Address |
9601 INTERSTATE 630 EXIT 7 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957200 | Select Specialty Hospital - Little Rock/bmc Inc | Long Term Care Hospital | 9601 Interstate 630, Exit 7, 10th Floor, Little Rock, AR 72205-7202 | 2005-07-22 |
| 1619386778 | Mary Roberts | Registered Nurse | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2014-08-03 |
| 1477968030 | Casey G Polk | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2014-06-23 |
| 1659704351 | Sammantha Ann Hicks | Physical Therapist | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2013-08-16 |
| 1114361425 | Chris Andrew Whaley | Rehabilitation Hospital | 9601 Interstate 630, Little Rock, AR 72205 | 2013-04-18 |
| 1366788796 | Chad Sullivan Stewart | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1225373657 | Emily Foster Eisenach | Nurse Anesthetist, Certified Registered | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2012-12-12 |
| 1144462383 | Shayna Marie Wood | Pediatrics | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2009-04-02 |
| 1316128499 | Kevin Charles Groustra | Physical Therapist | 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202 | 2007-11-17 |
| 1841489234 | Alicia Carter Brucks | Speech-Language Pathologist | 9601 Interstate 630, Little Rock, AR 72205-7202 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1629467535 | Justin M Bond | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr # Drive7, Little Rock, AR 72205-6321 | 2015-01-15 |
| 1275877110 | Danesthesia Inc | Nurse Anesthetist, Certified Registered | 29111 Bandy Rd, Little Rock, AR 72223-9384 | 2012-11-15 |
| 1902158645 | Kimberly R Bhama | Nurse Anesthetist, Certified Registered | 9601 Baptist Health Dr Dept Of, Little Rock, AR 72205-6321 | 2012-10-04 |
| 1619233475 | John S Sims Jr. | Nurse Anesthetist, Certified Registered | 251 Dawson Springs Rd, Little Rock, AR 72210-5544 | 2012-04-05 |
| 1548539596 | Sarah E Hefley | Nurse Anesthetist, Certified Registered | 3219 Rocky Ct, Little Rock, AR 72227-3105 | 2011-12-21 |
| 1649378381 | Ellen Shollmier | Nurse Anesthetist, Certified Registered | 8 Laval Ct, Little Rock, AR 72223-8903 | 2006-09-20 |
| 1699784348 | Danny Mack Ballard | Nurse Anesthetist, Certified Registered | 4300 West 7th Street, Central Arkansas Vhs, Little Rock, AR 72205-9918 | 2006-08-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.