Active NPI
Timmy Dee Newton, BS, R EEGT, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Lindale, TX
National Provider Identifier
1609078567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 14983 Boaz LN Ste 112
Lindale, TX 75771-4801 - Phone
- (972) 786-6167
- Fax
- (903) 882-7748
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
14983 Boaz LN Ste 112
Lindale, TX 75771-4801
Mailing address
14983 Boaz LN
Lindale, TX 75771-4801
Phone (972) 786-6167
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 of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Neurosurgical Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Richardson, TX
- NPI 1376636167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1609078567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14983 BOAZ LN",
"city": "LINDALE",
"state": "TX",
"postal_code": "757714801",
"telephone_number": "972-786-6167",
"fax_number": "903-882-7748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14983 BOAZ LN STE 112",
"city": "LINDALE",
"state": "TX",
"postal_code": "757714801",
"telephone_number": "972-786-6167",
"fax_number": "903-882-7748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "TIMMY",
"middle_name": "DEE",
"name_prefix": "Mr.",
"credential": "BS, R EEGT, CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.