Domecia Newmon, APRN,FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21632 Issued in TN

Practice address

6084 Apple Tree Dr Ste 11
Memphis, TN 38115-0305

Phone

(901) 779-6500

Fax

(901) 779-6555

NPI assigned

Nov 8, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shotrx, LLCGroup PAC ID 6406245174, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIFICD/Endpoint/DIFICD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shotrx, LLC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1154990943
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1043752009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-779-6500",
            "fax_number": "901-779-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 APPLE TREE DR STE 11",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150305",
            "telephone_number": "901-779-6500",
            "fax_number": "901-779-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMON",
        "first_name": "DOMECIA",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "21632",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Davis Newman, OD
• James M Newman, OD
• Jay Newman, DO
• Matthew Parker Newman, MD
• Samantha Louise Newman
• Caelyn Newport
• Cory Lynn Newsom-Broughton, DDS
• Laquasha L Newsom
• Lori Anne Newsom, LPC-MHSP
• Newsome and Associates, Inc

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.