Marie Cathleen Newsom, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP19848 Issued in CA

Practice address

3100 Telegraph Ave
Oakland, CA 94609-3239

Phone

(510) 452-5231

NPI assigned

Dec 2, 2010

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

Other identifiers 2

Other names 1

• Marie Newsom Zilius Other name

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.

• Bayside Medical Group, Inc

  • Pediatrics Physician
  • Pleasanton, CA
  • NPI 1689633240
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1114229655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "STE C140",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239",
            "telephone_number": "510-452-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "MARIE",
        "middle_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP19848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "NP 19848",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "RN 771527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "ZILIUS",
            "middle_name": "NEWSOM",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Newman
• Patrick Keller Newman
• Vivienne Newman, MD
• Erica Rafeal Newport-Hewitt, CD
• Angela Newsham, AMFT
• Kofi Isabella Newsome
• Lawrence Newsome
• Tristan Newsome
• Deyantae Gilbert Newson, BA
• Newton Medical Group

• Pediatric Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.