CARLYN NEWELL NPI 1649998139

NPI Information

  • NPI: 1649998139
  • Provider Name: CARLYN NEWELL
  • Classification: Clinical Nurse Specialist - 364SG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3800 W 203RD ST STE 202
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (708) 852-2699

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NPI Details

Carlyn Newell is a gerontology clinical nurse specialist in Olympia Fields, IL with 5 years of experience. Carlyn Newell NPI is 1649998139. 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:

3800 W 203RD ST STE 202
OLYMPIA FIELDS, IL
ZIP 60461-185
Phone: (708) 852-2699
Fax: (708) 679-2223

The NPI 1649998139 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 8/19/2022 and was last updated on 11/3/2022.

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
1364SA2200XClinical Nurse SpecialistAdult Health209025274ILLINOISNo
2364SG0600XClinical Nurse SpecialistGerontology041388238ILLINOISNo
3364SG0600XClinical Nurse SpecialistGerontology209025274ILLINOISYes

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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