Provider Demographics
NPI:1730927203
Name:NEWTON, MADISON M (RN)
Entity type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:M
Last Name:NEWTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MADISON
Other - Middle Name:M
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:THORNBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22565-0808
Mailing Address - Country:US
Mailing Address - Phone:479-841-9164
Mailing Address - Fax:
Practice Address - Street 1:4963 W TUMBLEWEED ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-7645
Practice Address - Country:US
Practice Address - Phone:479-841-9164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR105379171400000X, 202D00000X, 163W00000X, 163WC0200X, 163WC1500X, 163WM1400X, 163WG0000X, 163WN1003X, 163WR0400X, 163WH0200X, 163WI0500X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy