Individual provider Active NPI

Kimberly Ellen Newton, RN

  • Medical-Surgical Registered Nurse
  • Fort Lee, VA
National Provider Identifier
1083690028
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
0001164207 Issued in VA
Practice address
700 24TH Street
Usameddac Kahc Attn: Credentials Office
Fort Lee, VA 23801
Phone
(804) 734-9295
Fax
(804) 734-9016
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 0001164207 VA Primary

Addresses

Primary practice location

700 24TH Street
Usameddac Kahc Attn: Credentials Office
Fort Lee, VA 23801

Mailing address

700 24TH Street
Usameddac Kahc Attn: Credentials Office
Fort Lee, VA 23801
Phone (804) 734-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001164207VAMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083690028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 24TH STREET",
            "address_2": "USAMEDDAC KAHC ATTN: CREDENTIALS OFFICE",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9295",
            "fax_number": "804-734-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH STREET",
            "address_2": "USAMEDDAC KAHC ATTN: CREDENTIALS OFFICE",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9295",
            "fax_number": "804-734-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "KIMBERLY",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "VA",
            "license": "0001164207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.