Individual provider Active NPI

Rose Marie Newby, APRN

  • Family Nurse Practitioner
  • Gould, AR
National Provider Identifier
1699245985
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005973 Issued in AR
Practice address
2540 State Highway 388
Gould, AR 71643-9634
Phone
(870) 850-8884
NPI assigned
Nov 29, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005973 AR Primary

Addresses

Primary practice location

2540 State Highway 388
Gould, AR 71643-9634

Mailing address

1215 S Olive St
Pine Bluff, AR 71601-5752
Phone (870) 664-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220507000038 AR Practitioner - Nurse Practitioner 9830576198 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005973ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Care Professionals, LLC CurrentSince Feb 28, 2024 Accepting new patients
New Primary Care and Wellness Clinic CurrentSince Sep 1, 2025 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Feb 28, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 27, 2022 Accepting new patients
Gamma Healthcare Inc Past Accepting new patients

Locations

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

4020 Richards Rd
Ste G
North Little Rock, AR 72117
Phone (501) 945-4057

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJJDD/Endpoint/GHJJDD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1699245985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S OLIVE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015752",
            "telephone_number": "870-664-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 STATE HIGHWAY 388",
            "city": "GOULD",
            "state": "AR",
            "postal_code": "716439634",
            "telephone_number": "870-850-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gould, AR

Sources for this page

Verify at the official NPI Registry.