Active NPI
Jessica Newell, FNP-BC
- Primary Care Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1972188654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP023143
- Practice address
- 475 Spring LN
Philadelphia, PA 19128-3918 - Phone
- (800) 736-3739
- NPI assigned
- Mar 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP023143 | PA | Primary |
Addresses
Primary practice location
475 Spring LN
Philadelphia, PA 19128-3918
Mailing address
13 Kathleen Dr
Upper Chichester, PA 19014-3313
Phone (606) 560-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP023143 | PA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1972188654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 KATHLEEN DR",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190143313",
"telephone_number": "606-560-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SPRING LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283918",
"telephone_number": "800-736-3739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "JESSICA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-14",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP023143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.