LARESA VICTORIA NEWTON


Address: 3890 Bienville Blvd, Ocean Springs, MS 39564-5803
Phone: 2288726291

LARESA VICTORIA NEWTON (NPI# 1215067491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215067491
Entity Type Individual
Full Name LARESA VICTORIA NEWTON
Credential CRNP
Practice Address 3890 Bienville Blvd
Ocean Springs
MS 39564-5803
Practice Telephone 2288726291
Practice Fax Number 2288727627
Mailing Telephone 2288727605
Mailing Fax Number 2288727627
Enumeration Date 2007-03-06
Last Update Date 2014-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R874128 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 07382051 05

Office Location

Street Address 3890 BIENVILLE BLVD
City OCEAN SPRINGS
State MS
Zip Code 39564-5803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700885746 Alfred Earl Mcnair Jr. Internal Medicine 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2005-07-20
1215418975 Takiffany Jean Mcleod Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564 2018-08-22
1811439490 Luan Langham Brown Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-11-14
1902348725 Digestive Health Center Clinic/Center 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-11-10
1588015903 Tina J Ceccorulli Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-06-27
1114397536 Susan P Muzslay Dietitian, Registered 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2015-09-28
1710371018 Alexandria Tanner Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2015-03-24
1073916771 Jeanette Shabazz Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-10-08
1366841884 Aracelis Silva Single Specialty 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-08-20
1437558533 Mississippi Coastal Mri LLC Radiology 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750996401 Shelby Bourgeois Speech-Language Pathologist 108 Heron Park Pl, Ocean Springs, MS 39564 2020-09-10
1467010520 Rachel Stephenie Knox Student in an Organized Health Care Education/Training Program 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 2019-06-04
1457839292 Polly Anne Lampon Registered Nurse 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 2018-08-03
1578062725 Gulf Coast Sleep Medicine LLC Clinic/Center 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 2018-02-02
1598212623 Edward Victor Brown Jr. Dentist 15465 Oak Lane, Gulfport, MS 39564 2016-09-07
1386016749 L. Randy Buntyn, D.m.d., Pllc Dentist 1203 Government St., Ocean Springs, MS 39564 2015-10-26
1467835629 Msmobileyes Inc. Optometrist 2510 Bileville Blvd, Ocean Springs, MS 39564 2015-07-07
1659760999 Clark Jamison Levi Pharmacist 1019 Government Street Suite F & D, Ocean Springs, MS 39564 2015-01-09
1932545480 Therese Anne Hanna Nurse Practitioner 6900 Washington Avenue, Ocean Springs, MS 39564 2013-05-10
1346589421 Jennah Claine Ladner Nurse Practitioner 1137 Ocean Springs Road, Ocean Springs, MS 39564 2013-02-08
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396922423 Nancy A. Buckheister Nurse Practitioner 10404 Tucker Rd, Ocean Springs, MS 39565-7922 2008-01-31
1336128248 Yvonne M Hicks Nurse Practitioner 3612 Groveland Rd., Ocean Springs, MS 39564-4308 2006-01-10
1134107139 Kathleen Cecilia Arnold Nurse Practitioner 1278 Ocean Springs Rd, Ocean Springs, MS 39564-3409 2006-01-09
1467952069 Jennifer Trump Nurse Practitioner 1129 Ocean Springs Rd, Ocean Springs, MS 39564 2018-02-20
1114385721 Laura Ann Brandle Nurse Practitioner 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 2016-02-10
1982062170 Jamie Damico Nurse Practitioner 3603 Bienville Blvd, Suite 102, Ocean Springs, MS 39564-5727 2016-02-03
1659757870 James Michael Jackson Nurse Practitioner 22a Doctors Dr, Ocean Springs, MS 39564-5721 2015-08-11
1518342963 Nicholas L Pendleton Nurse Practitioner 22a Doctors Dr, Ocean Springs, MS 39564-5721 2015-07-28
1831512540 Savannah Carter Mcdaniel Nurse Practitioner 3704 Bienville Blvd, Suite B, Ocean Springs, MS 39564-5710 2014-01-31
1750621900 Amity Mcdonald Thompson Nurse Practitioner 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 2013-02-26
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Competitor

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City OCEAN SPRINGS
Zip Code 39564

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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