Samantha Suzanne Newcom, FNP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP2199 Issued in AZ

Practice address

4930 N 1St Ave
Tucson, AZ 85718-5615

Phone

(520) 577-3333

Fax

(520) 577-4685

NPI assigned

Feb 28, 2007

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Miss Samantha Suzanne Koenig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.newcom@speds.eclinicaldirectplus.com

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.

• Skyline Pediatrics Professional Corporation

  dba Skyline Pediatrics PC

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1184948416
  NPD
• Peak Urgent Care

  dba Peak Medical Medicare

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1942214259
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1780711226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857406207",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOM",
        "first_name": "SAMANTHA",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2199",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232193",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KOENIG",
            "middle_name": "SUZANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New Oasis Group Limited Liability Company
• New Perspectives LLC
• New Pueblo Medicine PC (Internal Medicine Associates)
• New Seasons Behavioral Health LLC
• Newborn Intensive Care Group
• Newcultureaz,LLC
• Sally Newhall, MHA/INF, RRT
• Rachel Noelle Newham, RN, CLC
• Alicia Jane Newkirk, PHARMD, BCACP
• Brittany Newland, B.S., HAD

• Pediatric Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.