Healthcare Provider Details

I. General information

NPI: 1275466401
Provider Name (Legal Business Name): JAMES BRAXTON NEWTON JR. PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E WILLAMETTE AVE STE 1
COLORADO SPRINGS CO
80903-1149
US

IV. Provider business mailing address

2855 NEWPORT ST
DENVER CO
80207-3516
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-5458
  • Fax:
Mailing address:
  • Phone: 904-673-2928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN.1658698
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: