Active NPI
Elizabeth Cicely Newsome, NP
- Women's Health Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1114256963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 800081
- Practice address
- 22 Gingerly LN
Greensboro, NC 27455-2886 - Phone
- (336) 562-8424
- Fax
- (833) 993-3475
- NPI assigned
- Dec 8, 2009
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 800081 | NC | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 38487 | NC |
Addresses
Primary practice location
22 Gingerly LN
Greensboro, NC 27455-2886
Mailing address
22 Gingerly LN
Greensboro, NC 27455-2886
Phone (336) 456-2842
Other names 1
- Libby Newsome
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800081 | NC | MD | Women's Health Nurse Practitioner |
| 38487 | NC | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bray-Maness Physical Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Asheboro, NC
- NPI 1821183492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1114256963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 GINGERLY LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552886",
"telephone_number": "336-456-2842",
"fax_number": "833-993-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 GINGERLY LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552886",
"telephone_number": "336-562-8424",
"fax_number": "833-993-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "ELIZABETH",
"middle_name": "CICELY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "800081",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": "38487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIBBY",
"last_name": "NEWSOME",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.