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NPI Code Detail

MEDICARE: RACHAEL KAY NOVICKI NP

MEDICARE: RACHAEL KAY NOVICKI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2351981MA
2163W00000XRegistered NurseRN2351981MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659020220
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL KAY NOVICKI NP
Provider Business Mailing Address
First Line : 85 HIGH ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-3825
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 85 HIGH ST
Second Line :
City : MEDFORD
State : MA
Zip : 02155-3825
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 03/03/2026

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