Active NPI
Paula Ellen Newton
- Recreation Therapist
- Peculiar, MO
National Provider Identifier
1760027023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 69507
- Practice address
- 21539 S Soryl Ave
Peculiar, MO 64078-9253 - Phone
- (417) 955-2632
- NPI assigned
- Nov 11, 2019
- Last updated
- Nov 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 69507 | MO | Primary |
Addresses
Primary practice location
21539 S Soryl Ave
Peculiar, MO 64078-9253
Mailing address
21539 S Soryl Ave
Peculiar, MO 64078-9253
Phone (417) 955-2632
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69507 | MO | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1760027023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21539 S SORYL AVE",
"city": "PECULIAR",
"state": "MO",
"postal_code": "640789253",
"telephone_number": "417-955-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21539 S SORYL AVE",
"city": "PECULIAR",
"state": "MO",
"postal_code": "640789253",
"telephone_number": "417-955-2632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "PAULA",
"middle_name": "ELLEN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MO",
"license": "69507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peculiar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.