AMANDA NOVAK (NPI# 1962962670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962962670 |
| Entity Type | Individual |
| Full Name | AMANDA NOVAK |
| Practice Address |
235 E State St Saint Croix Falls WI 54024-4117 |
| Mailing Address |
216 S Adams St Saint Croix Falls WI 54024-9449 |
| Practice Telephone | 7154830260 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15913-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423110 | Amanda Novak | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2019-08-20 |
| 1932764628 | Amanda Nicole Novak | Nurse Practitioner | 166 Pasadena Dr Ste 100, Lexington, KY 40503-2974 | 2019-05-08 |
| 1326495896 | Amanda Novak | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-05-15 |
| 1689939746 | Amanda Bruce Novak | Nurse Practitioner | 1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 | 2012-07-05 |
| 1871853358 | Amanda Towery Novak | Pharmacist | 4875 Old York Rd, Rock Hill, SC 29732-8127 | 2012-05-18 |
| 1942594338 | Amanda Novak | Physician Assistant | 2373 64th St Sw, Ste 1200, Byron Center, MI 49315 | 2011-06-03 |
| Street Address |
235 E STATE ST |
| City | SAINT CROIX FALLS |
| State | WI |
| Zip Code | 54024-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457457 | Jonn B. Dinnies | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2005-06-16 |
| 1093335796 | Alyssa Rose Everson | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2020-04-22 |
| 1427600584 | Stephanie June Mysicka | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-07-09 |
| 1023587581 | Phillip E Petrowitz | Physical Therapy Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-11-14 |
| 1538635479 | Janine Marie Crotty | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-10-18 |
| 1326556507 | Jamie Fahrenkrug | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-01-22 |
| 1417474115 | Megan E Swenson | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2017-08-24 |
| 1043661978 | Jenna B Mazour | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-22 |
| 1750731725 | Lauren Victoria Greene | Family Medicine | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-20 |
| 1992169270 | Jennifer Diane Beauvais | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078210 | Carson Cannon | Dentist | 230 South Washington St, St. Croix Falls, WI 54024 | 2019-05-14 |
| 1467743435 | Sarie Chieko Transue | Occupational Therapy Assistant | 450 East Lousiana St, St. Croix Falls, WI 54024 | 2011-04-26 |
| 1982909578 | Anita Melodee Bont | Marriage & Family Therapist | 144 N. Adams Street, St. Croix Falls, WI 54024 | 2011-01-13 |
| 1346407376 | Joy Kathleen Zasadny | Chiropractor | 520 S. Washington St, St. Croix Falls, WI 54024 | 2008-05-19 |
| 1093990822 | Counseling Associates of St. Croix, Inc | Community/Behavioral Health | 809 Us Hwy 8 East, St. Croix Falls, WI 54024 | 2007-12-28 |
| 1710169263 | School District of St. Croix Falls | Local Education Agency (LEA) | 740 Maple Drive, St. Croix Falls, WI 54024 | 2007-11-27 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1366577488 | Valerie A Zellmer | Marriage & Family Therapist | 809 Us Hwy 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1689709511 | Linda M Amundson | Marriage & Family Therapist | 809 Us Highway 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1194850016 | Donna L. Hill | Counselor | 809 Us Highway 8 East, St. Croix Falls, WI 54024 | 2007-02-22 |
| Find all providers in zip 54024 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560311 | Sarah Seward | Pharmacist | 6737 W Washington St Ste 4300, West Allis, WI 53214-5651 | 2020-05-26 |
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1528544798 | Sarah A Abraham | Pharmacist | 3801 N Richmond St, Appleton, WI 54913-9631 | 2018-07-11 |
| 1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1750650453 | Patricia Fowler | Pharmacist | 5054 Valley Heights Rd, Oshkosh, WI 54904-9354 | 2011-12-26 |
| 1740565217 | Tracy Ann Junker | Pharmacist | 2717 E Denton Ave, Saint Francis, WI 53235-5447 | 2011-10-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CROIX FALLS |
| Zip Code | 54024 |
Please comment or provide details below to improve the information on AMANDA NOVAK.
| 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.