Individual provider Active NPI

Dedra Miller Newton, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1386671519
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04603 Issued in LA
Practice address
4660 Bluebonnet Blvd
Baton Rouge, LA 70809-9632
Phone
(225) 767-8550
Fax
(225) 767-8556
NPI assigned
Jun 26, 2006
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04603 LA Primary

Addresses

Primary practice location

4660 Bluebonnet Blvd
Baton Rouge, LA 70809-9632

Mailing address

4660 Bluebonnet Blvd
Baton Rouge, LA 70809-9632
Phone (225) 767-8550

Other identifiers 1

IdentifierTypeStateIssuer
1477761MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050825000662 LA Practitioner - Nurse Practitioner 6507897915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4660 Bluebonnet Blvd
Baton Rouge, LA 70809-9632
Phone (225) 767-8550

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 25, 2022 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 25, 2022 Accepting new patients
Schwab & Hardin Holding Company LLC CurrentSince Dec 27, 2021 Accepting new patients
Baton Rouge General Physicians, Inc. Past Accepting new patients
KD Health & Wellness Center LLC PastSince Sep 1, 2007 Accepting new patients
Maringouin Medical Center, LLC Past Accepting new patients

Locations

4660 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 767-8550

8490 Picardy Ave
Ste 600
Baton Rouge, LA 70809
Phone (225) 763-4445

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, 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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1386671519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099632",
            "telephone_number": "225-767-8550",
            "fax_number": "225-767-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099632",
            "telephone_number": "225-767-8550",
            "fax_number": "225-767-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "DEDRA",
        "middle_name": "MILLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.