Healthcare Provider Details

I. General information

NPI: 1447199567
Provider Name (Legal Business Name): KATI ELLEN NEWTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 SKYLINE DR
JACKSON TN
38301-3923
US

IV. Provider business mailing address

75 ELDORADO LN
BEECH BLUFF TN
38313-1657
US

V. Phone/Fax

Practice location:
  • Phone: 731-614-8719
  • Fax:
Mailing address:
  • Phone: 731-614-8719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number188194
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: