Christina Theresa Newman, AGPCNP - BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1114526084 Issued in NC

Practice address

3605 Tackwood CT
Wake Forest, NC 27587-5675

Phone

(919) 757-9194

NPI assigned

Oct 22, 2020

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Rvlwf Michigan PLLC

  • Multi-Specialty Clinic/Center
  • Novi, MI
  • NPI 1891453684
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1114526084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN, DALLAS, TX 75244",
            "address_2": "SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "919-757-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 TACKWOOD CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875675",
            "telephone_number": "919-757-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CHRISTINA",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "AGPCNP - BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "1114526084",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "186300",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "1114526084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred C. Nelson, D.C., C.C.S.P.
• Grant H Nelson, DPT
• Sara Nepal
• Neuro Community Care
• New Path Consultations, LLC
• Justice Divine Newsome, COTA/L
• Launiece D Newton, AGPCNP-C, PMHNP-BC
• Timothy Mark Newton, MA LPA
• Eunice Wanjiru Ngumba-Gatabaki, PHD
• Nguyen & Nguyen Dentistry Partnership (Gentle Family Dentistry)

• Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.