Shirell Tiffany Newson, CSCM

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

9055 Santa Fe Ave E
Apt E 45
Hesperia, CA 92345-7968

Phone

(760) 669-9707

Fax

(760) 851-0995

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shirell'S Home Care Changing Lives LLC

  • Home Health Agency
  • Hesperia, CA
  • NPI 1932532512
  NPD (past) Authorized official

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1295177699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 SANTA FE AVE E",
            "address_2": "APT E 45",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457968",
            "telephone_number": "760-669-9707",
            "fax_number": "760-851-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 SANTA FE AVE E",
            "address_2": "APT E 45",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457968",
            "telephone_number": "760-669-9707",
            "fax_number": "760-851-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSON",
        "first_name": "SHIRELL",
        "middle_name": "TIFFANY",
        "credential": "CSCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-2346304",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope C Nebedum
• Yessenia Negrete
• Jody Lee Neville, RD
• David Newman, LMFT
• Valerie Newsom
• Cam-Thuyen Nguyen, PHARMD
• Nikki Thao-Nguyen Nguyen
• Nhien Luu, D.D.S., Inc.
• Nivin Moheieldin DDS. Inc
• Richard D. Norton, NP

• Home Health Agency in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.