Individual provider Active NPI

Donald Bryant Newlin, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Tacoma, WA
National Provider Identifier
1053407387
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10004297 Issued in WA
Practice address
Madigan Army Medical Ctr 9040 Jackson Ave
Attn: Dana Hannen 253-968-3869 Credentials Office
Tacoma, WA 98431-1100
Phone
(253) 968-2704
Fax
(253) 968-0920
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10004297 WA Primary

Addresses

Primary practice location

Madigan Army Medical Ctr 9040 Jackson Ave
Attn: Dana Hannen 253-968-3869 Credentials Office
Tacoma, WA 98431-1100

Mailing address

6820 48TH Ave E
Tacoma, WA 98443-2309
Phone (203) 809-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000722 WA Order and Referring Only - Physician Assistant 7416943030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000898CTMDAthletic Trainer
PA10004297WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Claudia R. Libertin MD LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1053407387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 48TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984432309",
            "telephone_number": "203-809-5354",
            "fax_number": "253-968-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE",
            "address_2": "ATTN: DANA HANNEN 253-968-3869 CREDENTIALS OFFICE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-2704",
            "fax_number": "253-968-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLIN",
        "first_name": "DONALD",
        "middle_name": "BRYANT",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.