Tressa E Newell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014705 Issued in CA

Practice address

12415 Kitching St
Moreno Valley, CA 92557-7619

Phone

(951) 347-9197

NPI assigned

Jun 27, 2021

Last updated

Jun 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1861062416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 KITCHING ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577619",
            "telephone_number": "951-347-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 KITCHING ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577619",
            "telephone_number": "951-347-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "TRESSA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Paul Nesper, M.D.
• Tawona Loveone Nettles I, LVN
• New Hope Christian Counseling Foundation, Inc
• New Legacy Behavioral Health Professional Clinical Counselor Inc
• Mary Adrienne Newell, MS
• Luke Newton, MD
• Nextgen Medical Services Inc
• Nexus Community Pulse
• Nexus Supplies LLC
• Ada NG, DO

• Family Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.