CARLY NEWTON FNP-C NPI 1124456736

NPI Information

  • NPI: 1124456736
  • Provider Name: CARLY NEWTON, FNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14805 NORTH OUTER 40 RD STE 320
    CHESTERFIELD, MO
    ZIP 63017
  • Phone: (636) 536-0183

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NPI Details

Carly Newton, FNP-C is an adult health nurse practitioner in Chesterfield, MO. Carly Newton, FNP-C NPI is 1124456736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14805 NORTH OUTER 40 RD STE 320
CHESTERFIELD, MO
ZIP 63017-060
Phone: (636) 536-0183
Fax: (636) 536-0526

The NPI 1124456736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 9/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health2014001970MISSOURINo
2363LA2200XNurse PractitionerAdult Health209019723ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12014001970OTHERMISSOURIADULT NURSE PRACTITIONER
2041404932OTHERILLINOISILLINOIS STATE LICENSE FOR RN
32010022356OTHERMISSOURIMISSOURI STATE LICENSE FOR RN
4209019723OTHERILLINOISADULT/FAMILY NURSE PRACTITIONER
52019010533OTHERMISSOURIFAMILY NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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