Active NPI
Amber Newlin
- Physical Medicine & Rehabilitation Physician
- Lawrenceville, IL
National Provider Identifier
1831663095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 160004306
- Practice address
- 2101 James St
Lawrenceville, IL 62439-2027 - Phone
- (618) 943-3334
- NPI assigned
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 160004306 | IL | Primary |
Addresses
Primary practice location
2101 James St
Lawrenceville, IL 62439-2027
Mailing address
16078 State Route 1
Lawrenceville, IL 62439-4503
Phone (618) 971-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N450-0167-6864 | Other | IL | DRIVERS LICENSE |
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 |
|---|---|---|---|
| 160004306 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831663095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16078 STATE ROUTE 1",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624394503",
"telephone_number": "618-971-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 JAMES ST",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624392027",
"telephone_number": "618-943-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWLIN",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "160004306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "N450-0167-6864",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.