Individual provider Active NPI

Hannah Newsome, RD, CSO, LD

  • Oncology Nutrition Registered Dietitian
  • Lexington, KY
National Provider Identifier
1194429399
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X
License
1097449 Issued in KY
Practice address
3470 Blazer Pkwy Ste 230
Lexington, KY 40509-1887
Phone
(859) 629-7136
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Nutrition Registered Dietitian 133VN1301X 1097449 KY Primary

Addresses

Primary practice location

3470 Blazer Pkwy Ste 230
Lexington, KY 40509-1887

Mailing address

3470 Blazer Pkwy Ste 230
Lexington, KY 40509-1887
Phone (859) 629-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, NJ, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250328002151 TX Practitioner - Registered Dietitian Or Nutrition Professional 5991228132 Reassigns benefits to 1 organization
I20250409000651 KY Practitioner - Registered Dietitian Or Nutrition Professional 5991228132 Reassigns benefits to 1 organization
I20251104000003 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5991228132 Reassigns benefits to 1 organization
I20251105001788 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5991228132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749

208 Hickory Hill Dr
Nicholasville, KY 40356-1831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1097449KYMDOncology Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Feb 1, 2025 Accepting new patients
Surely Health, Inc. CurrentSince Jan 24, 2025 Accepting new patients
Season Clinical Care NJ PC CurrentSince Nov 1, 2025 Accepting new patients
St Claire Medical Center, Inc., CurrentSince Feb 1, 2025 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
H-E-B, LP PastSince Nov 1, 2025 Accepting new patients
Fay Nutrition Past Accepting new patients
Sprocket Medical Management LLC Past Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

1719 Highway 10
Ste 300
Parsippany, NJ 07054

1719 Highway 10
Parsippany, NJ 07054

6565 N MacArthur Blvd
Irving, TX 75039

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 8

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1194429399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY STE 230",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887",
            "telephone_number": "859-629-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY STE 230",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887",
            "telephone_number": "859-629-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "HANNAH",
        "credential": "RD, CSO, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "KY",
            "license": "1097449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.