Active NPI
Sydney R Newton, APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3009888
- Practice address
- 3 Audubon Plaza Dr
Suite 630
Louisville, KY 40217-1300 - Phone
- (502) 326-8588
- Fax
- (502) 326-8589
- NPI assigned
- Aug 6, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3009888 | KY | Primary |
Addresses
Primary practice location
3 Audubon Plaza Dr
Suite 630
Louisville, KY 40217-1300
Mailing address
9301 Dayflower St
Suite 100
Prospect, KY 40059-7585
Phone (502) 326-8588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Hurstbourne Village Dr
Suite 900
Louisville, KY 40299-1851
Phone (217) 729-7868
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.83 of 100
- Quality
- 71.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009888 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalskin Medical Group Il PLLC | Current | Accepting new patients | |
| Vitalskin Medical Group Il PLLC | Current | Accepting new patients | |
| Associates in Dermatology, PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868
2300 Hurstbourne Village Dr
Ste 900
Louisville, KY 40299
Phone (217) 729-7868
5129 Dixie Hwy
Ste 301
Louisville, KY 40216
Phone (502) 449-0449
Organizations & group practices 3
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.
-
- Dermatology Physician
- Mattoon, IL
- NPI 1063030252
-
- Dermatology Physician
- Louisville, KY
- NPI 1629083399
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1912383480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 DAYFLOWER ST",
"address_2": "SUITE 100",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400597585",
"telephone_number": "502-326-8588",
"fax_number": "502-326-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 AUDUBON PLAZA DR",
"address_2": "SUITE 630",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171300",
"telephone_number": "502-326-8588",
"fax_number": "502-326-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "SYDNEY",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3009888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.