Ellyce Caitrin Newsome, CRNP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

SP025752 Issued in PA

Practice address

8815 Germantown Ave Ste 31
Philadelphia, PA 19118-2724

Phone

(215) 247-7990

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellyce Caitrin Rand Former name

Medicare fee-for-service enrollment

Enrolled in PA

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 and National Provider Directory roles.

• Todd D Aaron MD F a C P PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1083657852
  Medicare reassignment NPD
• Chestnut Hill Clinic Company, LLC

  dba Behavioral Health Chestnut Hill Ave Tower Health Medical Group

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508936071
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1144968082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FRANKLIN AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312006",
            "telephone_number": "732-610-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 GERMANTOWN AVE STE 31",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182724",
            "telephone_number": "215-247-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "ELLYCE",
        "middle_name": "CAITRIN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "SP025752",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP025752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYCE",
            "last_name": "RAND",
            "middle_name": "CAITRIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Newman, MSW, LCSW
• Simon Newsom
• Jaclyn Newsome-Norris, CRNP
• Bridget Newsome
• Denita Newsome
• Judy Lynne Newsome, CRNA
• Tina Newstead
• Tabreya Armani Newsuan
• Caitlin Newswanger
• Monica Lee Newswanger, LAPC, ATR-P

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.