Kelly Marie Newberry, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN275414 Issued in OH

Practice address

777 Autumn Leaf Dr
Beavercreek, OH 45430-1490

Phone

(937) 689-4308

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1235839739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AUTUMN LEAF DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301490",
            "telephone_number": "937-689-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AUTUMN LEAF DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454301490",
            "telephone_number": "937-689-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN275414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Ann Nava
• Tracie Navarra, FNP-BC
• Germaine Neh, MD
• Gloria Neil, LDO
• Karen L Nelson, LPCC-S, CEAP
• Allison Newlin, PC
• Latisha Newport, RN
• Nicholas Norckauer
• Tammy Renee Norckauer
• Ronald Keith Norman, DPM

• Case Management Registered Nurse in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.