Individual provider Active NPI

Sydney R Newton, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1912383480
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009888 Issued in KY
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

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209002621 KY Practitioner - Nurse Practitioner 3476854852 Reassigns benefits to 1 organization

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
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

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 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009888KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Mar 1, 2024 Accepting new patients
Vitalskin Medical Group Il PLLC CurrentSince Mar 1, 2024 Accepting new patients
Associates in Dermatology, PLLC Nurse Practitioner PastSince Dec 1, 2022 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.

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

Verify at the official NPI Registry.