Individual provider Active NPI

Brenda Leigh Newman, FNP-BC

  • Family Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1386333805
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
290958 Issued in AZ
Practice address
1370 Ramar Rd Ste B
Bullhead City, AZ 86442-7117
Phone
(661) 348-0990
NPI assigned
May 1, 2023
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 866790 NV
Family Nurse Practitioner 363LF0000X 290958 AZ Primary

Addresses

Primary practice location

1370 Ramar Rd Ste B
Bullhead City, AZ 86442-7117

Mailing address

2320 Fresa LN
Laughlin, NV 89029-0736
Phone (661) 348-0990

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
290958AZMDFamily Nurse Practitioner
866790NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laughlin Community Health Center Inc Multi-Specialty CurrentSince Jul 10, 2023 Accepting new patients

Locations

3650 South Pointe Cir
Ste 101
Laughlin, NV 89029
Phone (702) 299-1190

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCGDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1386333805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 FRESA LN",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290736",
            "telephone_number": "661-348-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 RAMAR RD STE B",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427117",
            "telephone_number": "661-348-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BRENDA",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "866790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "290958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.