Sussette Hiers Newsom

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

561 Issued in ID

Practice address

2173 S Gekeler LN
Boise, ID 83706-4337

Phone

(208) 333-8751

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1275983769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 S GEKELER LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064337",
            "telephone_number": "208-333-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 S GEKELER LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064337",
            "telephone_number": "208-333-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "SUSSETTE",
        "middle_name": "HIERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Dale Newman, PTA
• Kellee Newman, HIS
• Krystin Newman, LPC
• Maureen A Newman, M.D.
• Nicholas Cary Newman, PA
• Teresa Janeen Newsom, RPH
• Misti Newson, PMHNP
• Carrie Newton, M.S., D.O.
• Diane R Newton, M.D.
• Kelsy Newton, PSYD

• Occupational Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.