Sharita E Newsome
Individual provider Active NPI Counselor · Bristol, FL
NPI 1669141925 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1669141925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 11041 NW Dawson Rd
Bristol, FL 32321-2470 - Phone
- (850) 294-1111
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
11041 NW Dawson Rd
Bristol, FL 32321-2470
Mailing address
11041 NW Dawson Rd
Bristol, FL 32321-2470
Phone (850) 294-8678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMH20038 | Other | FL | FL DOH |
Other providers in Bristol, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.