Individual provider Active NPI

Beth E. Newhouse, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marana, AZ
National Provider Identifier
1508881046
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1667 Issued in AZ
Practice address
13395 N Marana Main St
Marana, AZ 85653-7008
Phone
(520) 682-4111
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN063843 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1667 AZ Primary

Addresses

Primary practice location

13395 N Marana Main St
Marana, AZ 85653-7008

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Other practice location 1

630 N Alvernon Way
Ste 161
Tucson, AZ 85711-1843
Phone (520) 327-4505

Other identifiers 1

IdentifierTypeStateIssuer
954992MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040923001013 AZ Practitioner - Nurse Practitioner 5799753075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP1667AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc CurrentSince May 6, 2019 Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients
Marana Health Center Inc CurrentSince May 6, 2019 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Aug 23, 2004 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Aug 23, 2004 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Healthcare Southwest. Inc Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

3100 N 1st Ave
Tucson, AZ 85719
Phone (520) 202-1786

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

127 S 5th Ave
Tucson, AZ 85701
Phone (520) 202-1758

630 N Alvernon Way
Ste 161
Tucson, AZ 85711
Phone (520) 318-9222

899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

1650 E Fort Lowell Rd
Ste 202
Tucson, AZ 85719
Phone (520) 202-1759

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

Interoperability endpoints

  • Direct secure messaging: beth.newhouse@1278.direct.myezyaccess.com
  • Direct secure messaging: beth.newhouse.1@32652.direct.athenahealth.com

Organizations & group practices 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1508881046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Alvernon Way",
            "address_2": "Ste 161",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111843",
            "country_code": "US",
            "telephone_number": "520-327-4505",
            "fax_number": "520-202-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWHOUSE",
        "first_name": "BETH",
        "middle_name": "E.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN063843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954992",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.