MICHELLE THERESE NOVAK (NPI# 1770096877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770096877 |
| Entity Type | Individual |
| Full Name | MICHELLE THERESE NOVAK |
| Credential | ATC |
| Practice Address |
2338 W Van Winkle Way Ste 3300 Peoria IL 61615-7485 |
| Mailing Address |
1700 W Hickory Grove Rd Apt 4-203 Dunlap IL 61525-9189 |
| Practice Telephone | 3096932020 |
| Mailing Telephone | 3098303250 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096003270 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902043789 | Michelle L Novak | Physician Assistant | 200 Delafield Rd Ste 3060, Pittsburgh, PA 15215-3235 | 2009-01-15 |
| 1629221197 | Michelle M. Novak | Registered Nurse | 1257 S 52nd St, West Milwaukee, WI 53214-3537 | 2008-10-28 |
| 1720544117 | Michelle Novak | Speech-Language Pathologist | 3701 Wade Coble Dr, Burlington, NC 27215-9743 | 2019-02-11 |
| 1225365299 | Michelle Elizabeth Novak | Counselor | 623 Dahl Rd, Spearfish, SD 57783-2782 | 2009-11-11 |
| Street Address |
2338 W VAN WINKLE WAY STE 3300 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-7485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931531 | Cindy Pettit | Nurse Practitioner | 2338 W Van Winkle Way Ste 3300, Peoria, IL 61615-7485 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513367 | Kathryn Spicer | Specialist/Technologist | 7525 W Mary Jane Ln, Peoria, AZ 85382-4819 | 2020-09-21 |
| 1558847350 | Abel Eulogio Fernandez | Specialist/Technologist | 7733 W Crocus Dr, Peoria, AZ 85381-8522 | 2018-07-14 |
| 1770085995 | Gregory Lee Gaa | Specialist/Technologist | 7800 N Sommer St Ste 608, Peoria, IL 61615-1968 | 2018-03-03 |
| 1174058291 | Brooke Willette | Specialist/Technologist | 18210 N 92nd Ln, Peoria, AZ 85382-7707 | 2017-04-26 |
| 1528591351 | Michael R Utter | Specialist/Technologist | 8940 W Kathleen Rd, Peoria, AZ 85382-3727 | 2017-04-08 |
| 1164967394 | Bryan Anthony Thompson | Specialist/Technologist | 8819 W Echo Ln, Peoria, AZ 85345-7834 | 2016-12-26 |
| 1003279340 | Joseph Tarantino | Specialist/Technologist | 8131 W Paradise Ln, Peoria, AZ 85382-3826 | 2016-04-04 |
| 1689049256 | Taylor Coltrin | Specialist/Technologist | 6032 N Teal Wood Cir, Peoria, IL 61615-2231 | 2015-12-08 |
| 1598184988 | Hiroki Sato | Specialist/Technologist | 7631 W Comet Ave, Peoria, AZ 85345-6666 | 2014-04-14 |
| 1770763302 | Ebs Sports | Specialist/Technologist | 1019 W Lake Ave, Peoria, IL 61614-5933 | 2007-11-12 |
| Find all providers in PEORIA | ||||
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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.