Kelsey Nicole Newton, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1094943 Issued in TX

Practice address

488 W Main St Ste 101
Van, TX 75790-2608

Phone

(903) 963-6850

NPI assigned

Sep 26, 2020

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Van Family Medical

  • Family Nurse Practitioner
  • Van, TX
  • NPI 1386306108
  NPD
• Medstop Clinic

  • Urgent Care Clinic/Center
  • Longview, TX
  • NPI 1083150973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1831706530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 W MAIN ST STE 101",
            "city": "VAN",
            "state": "TX",
            "postal_code": "757902608",
            "telephone_number": "903-570-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 W MAIN ST STE 101",
            "city": "VAN",
            "state": "TX",
            "postal_code": "757902608",
            "telephone_number": "903-963-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Turtle Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011833",
            "country_code": "US",
            "telephone_number": "903-595-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "TX",
            "license": "953026",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1094943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kelly Grizzard
• Health at Home Inc
• Nancy Kathryn Hopper
• Lindsay Delea Jones, M.S., LPC
• Cheryl May Mackey, LPC
• Pat Oxford, RPH
• Leslie Michelle Pack, RN
• Kimberly Kay Raglin, LVN
• Callie Lynn Roberts
• Senior Living Properties LLC (Van Healthcare Center)

• Family Nurse Practitioner in Van, TX
• Providers in Van, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.