Individual provider Active NPI

Launiece D Newton, AGPCNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1750881983
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5010293 Issued in NC
Practice address
1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855
Phone
(919) 529-5920
Fax
(919) 529-5933
NPI assigned
Feb 14, 2018
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5010293 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5010293 NC

Addresses

Primary practice location

1748 Heritage Center Dr Ste 101
Wake Forest, NC 27587-9855

Mailing address

3065 Thurman Dairy Loop
Wake Forest, NC 27587-5621
Phone (516) 633-8421

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@cedaroaksclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411002934 NC Practitioner - Nurse Practitioner 9436412087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Oaks Clinic PLLCGroup PAC ID 0547678500, 9 clinicians

Practice addresses (Care Compare)

1748 Heritage Ctr Dr
Suite 101
Wake Forest, NC 27587-9855
Phone (919) 529-5920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5010293NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Oaks Clinic PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients

Locations

1748 Heritage Center Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 529-5920

Organizations & group practices 1

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1750881983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 THURMAN DAIRY LOOP",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875621",
            "telephone_number": "516-633-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 HERITAGE CENTER DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879855",
            "telephone_number": "919-529-5920",
            "fax_number": "919-529-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON",
        "first_name": "LAUNIECE",
        "middle_name": "D",
        "credential": "AGPCNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5010293",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5010293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@cedaroaksclinic.com",
            "affiliation": "N",
            "endpointDescription": "Endpoint Exchange Health Information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1748 Heritage Center Dr Ste 101",
            "city": "Wake Forest",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275879855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.