Kevin Dale Newcom, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01597 Issued in AR

Practice address

2200 Fort Roots Dr
North Little Rock, AR 72114-1709

Phone

(501) 257-2705

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Saline Physician Services, LLC

  dba Bryant Medical Clinic

  • Internal Medicine Physician
  • Bryant, AR
  • NPI 1144559287
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265453336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 5 N",
            "city": "ROMANCE",
            "state": "AR",
            "postal_code": "721369618",
            "telephone_number": "501-257-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOM",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology of Arkansas PA
• Neuroscience Associates PA (Neurological Surgery Associates)
• Paige Nevels, COTA
• New Primary Care and Wellness Clinic
• Kristie Newborn
• Micah Newell
• Hamilton Cole Newhart
• Sarah Joanne Newman, PSY.D.
• Adara Ann Newsome, LCSW
• Elizabeth Newton, LPC

• Family Nurse Practitioner in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.