Individual provider Active NPI

Aneko Lavern Newton-Jackson, APRN-CNP, FNP-BC

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1912603747
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1109986 Issued in TX
Practice address
1117 Naranjo Dr
Georgetown, TX 78628-4032
Phone
(512) 740-4334
NPI assigned
Feb 2, 2023
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1109986 TX Primary

Addresses

Primary practice location

1117 Naranjo Dr
Georgetown, TX 78628-4032

Mailing address

1117 Naranjo Dr
Georgetown, TX 78628-4032
Phone (512) 740-4334

Other practice location 1

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (866) 949-0108

Other practice location 2

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Phone (469) 200-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250424003988 TX Practitioner - Nurse Practitioner 0446529556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Victory Wound CareGroup PAC ID 1355705385, 5 clinicians

Practice addresses (Care Compare)

14205 N Mo Pac Expy
570 PMB 411939
Austin, TX 78728-6529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Oct 1, 2025 Accepting new patients
Victory Wound Care CurrentSince Feb 21, 2025 Accepting new patients
Landmark Medical of Texas PA PastSince Jan 3, 2021 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

14205 N Mo Pac Expy
Ste 570
Austin, TX 78728
Phone (737) 291-7570

Interoperability endpoints

  • Direct secure messaging: ms_anewto20@landmarkhealth-direct.org

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1912603747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 NARANJO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284032",
            "telephone_number": "512-740-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 NARANJO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284032",
            "telephone_number": "512-740-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Mercantile Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374206",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 N State Highway 161 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382239",
            "country_code": "US",
            "telephone_number": "469-200-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWTON-JACKSON",
        "first_name": "ANEKO",
        "middle_name": "LAVERN",
        "credential": "APRN-CNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1109986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.