Dara Madeline Newberry, DNP, FNP-C, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

22883 Issued in TN

Practice address

6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112

Phone

(901) 681-0778

Fax

(901) 821-9987

NPI assigned

Aug 15, 2017

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MS, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mid-South Infectious Disease Associates, PLLC

  • Infectious Disease Physician
  • Memphis, TN
  • NPI 1245266733

  MS

  Medicare reassignment NPD
• Aleutian Pribilof Islands Association Inc

  • Community Health Clinic/Center
  • Atka, AK
  • NPI 1093939233

  TX

  Medicare reassignment NPD
• Advanced Kidney Care

  • Nephrology Physician
  • Germantown, TN
  • NPI 1801223342
  NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1528584273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 312",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 Cowden Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381045321",
            "country_code": "US",
            "telephone_number": "901-219-3970",
            "fax_number": "901-219-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 Cowden Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381045321",
            "country_code": "US",
            "telephone_number": "901-219-3970",
            "fax_number": "901-219-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Washington Way",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322952",
            "country_code": "US",
            "telephone_number": "360-423-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "DARA",
        "middle_name": "MADELINE",
        "credential": "DNP, FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "60810803",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22883",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904315",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059580",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001177279",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Perspectives Psychiatry PLLC
• New Testament Personal Care Solutions
• New Vision Psychiatry
• New Vision Support Service
• New Vision Support Service Agency
• Weston Newbill
• Violet A. Newborn, CPRS
• Edward Earl Newby II
• Anjail Newell
• Janet Kenya Newell, MA

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.