Active NPI
Jade Kyle Newman, C.O.
- Orthotist
- Cheyenne, WY
National Provider Identifier
1174064992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C50036
- Practice address
- 2110 Evans Ave
Cheyenne, WY 82001 - Phone
- (307) 778-6595
- Fax
- (307) 778-6191
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C50036 | Primary |
Addresses
Primary practice location
2110 Evans Ave
Cheyenne, WY 82001
Mailing address
2110 Evans Ave
Cheyenne, WY 82001-3734
Phone (307) 778-6595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C50036 | Other | BOC |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quorum Orthopedics, Inc | Orthotist | Past | Accepting new patients |
| Quorum Orthopedics, Inc. | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1174064992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 EVANS AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013734",
"telephone_number": "307-778-6595",
"fax_number": "307-778-6191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 EVANS AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82001",
"telephone_number": "307-778-6595",
"fax_number": "307-778-6191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "JADE",
"middle_name": "KYLE",
"name_prefix": "Mr.",
"credential": "C.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": "C50036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "C50036",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.