Active NPI
Ja'Lila Newbill
- Community Health Worker
- Mishawaka, IN
National Provider Identifier
1790668028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 172V00000X
- Practice address
- 5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469 - Phone
- (574) 256-8109
- NPI assigned
- Jul 25, 2025
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 172V00000X | IN | Primary |
Addresses
Primary practice location
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Mailing address
1051 Portage Ave
South Bend, IN 46616-1417
Phone (574) 256-8109
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 |
|---|---|---|---|
| 172V00000X | IN | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1790668028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 PORTAGE AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466161417",
"telephone_number": "574-256-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-256-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBILL",
"first_name": "JA'LILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IN",
"license": "172V00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.