MR. ALLEN NOVAK A.P.R.N. NPI 1174528509

NPI Information

NPI: 1174528509
Provider Name: MR. ALLEN NOVAK, A.P.R.N.
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
122 HAILI ST
HILO, HI
ZIP 96720
Phone: (808) 934-9071
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MR. Allen Novak, A.P.R.N. is a psychiatric/mental health clinical nurse specialist in Hilo, HI. MR. Allen Novak, A.P.R.N. NPI is 1174528509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 HAILI ST
HILO, HI
ZIP 96720-804
Phone: (808) 934-9071
Fax: (808) 934-9071

The NPI 1174528509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 10/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN-20223	HAWAII	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	422-91	HAWAII	No
3	101YM0800X	Counselor	Mental Health	RN-20223	HAWAII	No
4	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	RN-20223	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H53165	MEDICARE ID-TYPE UNSPECIFIED	HAWAII
2	S62496	MEDICARE UPIN	HAWAII
3	544925	MEDICAID	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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