Jackie L Newham, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0054298 Issued in OK

Practice address

6151 S Yale Ave Ste 400
Tulsa, OK 74136-1933

Phone

(918) 494-8500

Fax

(918) 307-5578

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• St John Cardiovascular Medicine Inc

  • Cardiovascular Disease Physician
  • Tulsa, OK
  • NPI 1790717270
  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)
• Western Kansas Urological Assoc., P.a.

  • Urology Physician
  • Hays, KS
  • NPI 1578509550
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1104847359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361933",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361933",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWHAM",
        "first_name": "JACKIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0054298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fengju Z Newcomer
• Klaire Frances Newell
• Seya Newell
• John William Newfield, DC
• Katelyn Newgent
• Cashel Patrick Newhouse, MD
• Shanna Newhouse
• Grace Anne Newman Barton
• Michaiah Newman-Chock
• Casey Lynn Newman, AUD.

• All providers in Tulsa, OK
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.