Active NPI
Steven Lee Newbold, RRT
- Home Health Registered Respiratory Therapist
- Palmer, AK
National Provider Identifier
1295036903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Respiratory Therapist
- License
- 2248
- Practice address
- 1165 W Granville St
Palmer, AK 99645-7118 - Phone
- (907) 982-5710
- NPI assigned
- Nov 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Respiratory Therapist | 2279H0200X | 2248 | NC | Primary |
| Neonatal/Pediatric Registered Respiratory Therapist | 2279P3900X | 2248 | NC |
Addresses
Primary practice location
1165 W Granville St
Palmer, AK 99645-7118
Mailing address
1165 W Granville St
Palmer, AK 99645-7118
Phone (907) 982-5710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2248 | NC | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1295036903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 W GRANVILLE ST",
"city": "PALMER",
"state": "AK",
"postal_code": "996457118",
"telephone_number": "907-982-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 W GRANVILLE ST",
"city": "PALMER",
"state": "AK",
"postal_code": "996457118",
"telephone_number": "907-982-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBOLD",
"first_name": "STEVEN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-11",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2279H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": "NC",
"license": "2248",
"primary": true
},
{
"code": "2279P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
"state": "NC",
"license": "2248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.