Active NPI
Tobie Suzanne Newberry
- Nurse Practitioner
- Marietta, OH
National Provider Identifier
1598908121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 287491
- Practice address
- 300 E 8TH St Ste 120
Marietta, OH 45750-3379 - Phone
- (740) 374-4273
- Fax
- (740) 376-5098
- NPI assigned
- Apr 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56404 | WV | |
| Nurse Practitioner | 363L00000X | 287491 | OH | Primary |
Addresses
Primary practice location
300 E 8TH St Ste 120
Marietta, OH 45750-3379
Mailing address
Grosvenor Hall 055
Ohio University
Athens, OH 45701-2979
Phone (740) 593-2432
Other names 1
- Tobie Suzanne Simmons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090618000017 | OH | Practitioner - Nurse Practitioner | 9436208162 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287491 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1598908121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GROSVENOR HALL 055",
"address_2": "OHIO UNIVERSITY",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012979",
"telephone_number": "740-593-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 8TH ST STE 120",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503379",
"telephone_number": "740-374-4273",
"fax_number": "740-376-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "TOBIE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-13",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "56404",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "287491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOBIE",
"last_name": "SIMMONS",
"middle_name": "SUZANNE",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.