Individual provider Active NPI

Nancy Deane Newbury, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ft Pierce, FL
National Provider Identifier
1821042425
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1161862 Issued in FL
Practice address
4500 W Midway Rd
New Horizons of the Treasure Coast Inc
Ft Pierce, FL 34981
Phone
(772) 221-4088
Fax
(772) 221-4089
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1161862FLMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1161862 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4500 W Midway Rd
New Horizons of the Treasure Coast Inc
Ft Pierce, FL 34981

Mailing address

9220 SE Lacreek CT
Hobe Sound, FL 33455-8954
Phone (772) 545-3993

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
763243600MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2020.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1821042425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SE LACREEK CT",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558954",
            "telephone_number": "772-545-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W MIDWAY RD",
            "address_2": "NEW HORIZONS OF THE TREASURE COAST INC",
            "city": "FT PIERCE",
            "state": "FL",
            "postal_code": "34981",
            "telephone_number": "772-221-4088",
            "fax_number": "772-221-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "NANCY",
        "middle_name": "DEANE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1161862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763243600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.