MRS. REBECCA WYNNE NOVACK


Address: 9601 Interstate 630, Exit 7, Little Rock, AR 72205-7202
Phone: 5012022093

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 9601 INTERSTATE 630
EXIT 7
City LITTLE ROCK
State AR
Zip Code 72205-7202

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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