Individual provider Active NPI

Lisa R Newell, D.O.

  • Family Medicine Physician
  • South Charleston, WV
National Provider Identifier
1720071194
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1820 Issued in WV
Practice address
267 Staunton Ave
South Charleston, WV 25303-2503
Phone
(304) 768-0321
Fax
(833) 972-5595
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1820 WV Primary

Addresses

Primary practice location

267 Staunton Ave
South Charleston, WV 25303-2503

Mailing address

267 Staunton Ave
South Charleston, WV 25303-2503
Phone (304) 768-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071211000398 WV Practitioner - Family Practice 0840109104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1820WVMDFamily Medicine Physician
542WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems Inc CurrentSince Jun 25, 2007 Accepting new patients
Community Health Systems, Inc. CurrentSince Jun 25, 2007 Accepting new patients
Fayette Clinic, PLLC Family Medicine Past Accepting new patients

Locations

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

Interoperability endpoints

  • Direct secure messaging: lisa.newell.3@23284.direct.athenahealth.com

Organizations & group practices 3

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1720071194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 STAUNTON AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253032503",
            "telephone_number": "304-768-0321",
            "fax_number": "833-972-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 STAUNTON AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253032503",
            "telephone_number": "304-768-0321",
            "fax_number": "833-972-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.