Active NPI
Vickie Lynn Newbold, RN, BSN
- Home Health Registered Nurse
- Kingsville, OH
National Provider Identifier
1457570038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN-265411
- Practice address
- 4998 Dibble Rd
Kingsville, OH 44048-9711 - Phone
- (440) 224-0996
- Fax
- (440) 224-2223
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN-265411 | OH | Primary |
Addresses
Primary practice location
4998 Dibble Rd
Kingsville, OH 44048-9711
Mailing address
4998 Dibble Rd
Kingsville, OH 44048-9711
Phone (440) 224-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2165339 | Other | OH | INDEPENDENT PROVIDER |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-265411 | OH | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457570038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4998 DIBBLE RD",
"city": "KINGSVILLE",
"state": "OH",
"postal_code": "440489711",
"telephone_number": "440-224-0996",
"fax_number": "440-224-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4998 DIBBLE RD",
"city": "KINGSVILLE",
"state": "OH",
"postal_code": "440489711",
"telephone_number": "440-224-0996",
"fax_number": "440-224-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBOLD",
"first_name": "VICKIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "RN-265411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT PROVIDER",
"identifier": "2165339",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.