Individual provider Active NPI

Laresa Victoria Newton, CRNP

  • Acute Care Nurse Practitioner
  • Ocean Springs, MS
National Provider Identifier
1215067491
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R874128 Issued in MS
Practice address
3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone
(228) 872-6291
Fax
(228) 872-7627
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R874128 MS Primary

Addresses

Primary practice location

3890 Bienville Blvd
Ocean Springs, MS 39564-5803

Mailing address

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone (228) 872-7605

Other identifiers 1

IdentifierTypeStateIssuer
07382051MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070626000435 MS Practitioner - Nurse Practitioner 5890894273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.9 of 100Reported as group
Quality
47.44
Promoting interoperability
98
Improvement activities
40
Cost
77.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874128MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, P.a. Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 1, 2024 Accepting new patients
Gastrointestinal Associates, P.a. CurrentSince Jun 19, 2023 Accepting new patients
Gastrointestinal Associates, PA CurrentSince Jun 19, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 W Railroad St
Gulfport, MS 39501
Phone (228) 863-8836

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

90 Industrial Park Cir
#A
Ocean Springs, MS 39564
Phone (228) 872-6291

3890 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-6291

3616 Hospital St
Ste A
Pascagoula, MS 39581
Phone (228) 872-7684

Interoperability endpoints

  • Direct secure messaging: laresanewton@dhc.allscriptsdirect.net

Organizations & group practices 6

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1215067491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-7605",
            "fax_number": "228-872-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645803",
            "telephone_number": "228-872-6291",
            "fax_number": "228-872-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "LARESA",
        "middle_name": "VICTORIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R874128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07382051",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.