Individual provider Active NPI

Debra R Newman, PA-C, MPH

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1609084284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Phone
(505) 438-0010
Fax
(505) 438-6011
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NM Primary

Addresses

Primary practice location

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Mailing address

779 Paseo Cresta
Santa Fe, NM 87501-8958
Phone (505) 983-5455

Other practice location 1

2010 Industrial Park Rd
Espanola, NM 87532-3600
Phone (505) 753-7395

Other identifiers 2

IdentifierTypeStateIssuer
1606084284MedicaidNM
NMAAA0020OtherNMMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Pain & Spine Specialists PC CurrentSince Aug 7, 2013 Accepting new patients
Talib Omer MD PC CurrentSince Jan 1, 2022 Accepting new patients
El Centro Family Health Past Accepting new patients
The Life Link PastSince May 25, 2022 Accepting new patients
Nexus Health Past Accepting new patients

Locations

3415 S Sepulveda Blvd
Fl 10
Los Angeles, CA 90034
Phone (310) 626-0149

303 Peachtree St NE
Atlanta, GA 30308

4100 High Resort Blvd SE
Ste 125
Rio Rancho, NM 87124
Phone (505) 843-6168

1631 Hospital Dr
Ste 110
Santa Fe, NM 87505
Phone (505) 982-7246

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609084284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 PASEO CRESTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018958",
            "telephone_number": "505-983-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053373",
            "telephone_number": "505-438-0010",
            "fax_number": "505-438-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875323600",
            "country_code": "US",
            "telephone_number": "505-753-7395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "DEBRA",
        "middle_name": "R",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1606084284",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMAAA0020",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.