Individual provider Active NPI

Laquasha L Newsom

  • Home Health Aide
  • Memphis, TN
National Provider Identifier
1518622174
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
3592 Knight Arnold Rd
Memphis, TN 38118-2709
Phone
(901) 314-9428
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

3592 Knight Arnold Rd
Memphis, TN 38118-2709

Mailing address

4898 Chesterwood CT
Memphis, TN 38118-6433
Phone (901) 314-9428

Other identifiers 1

IdentifierTypeStateIssuer
Q036792MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ifcllc@outlook.com
Direct Messaging Address ifcllc@outlook.com

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

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1518622174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 CHESTERWOOD CT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381186433",
            "telephone_number": "901-314-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 KNIGHT ARNOLD RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182709",
            "telephone_number": "901-314-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "LAQUASHA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036792",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifcllc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "ifcllc@outlook.com",
            "address_1": "4898 Chesterwood Ct",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381186433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifcllc@outlook.com",
            "affiliation": "N",
            "address_1": "4898 Chesterwood Ct",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381186433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.