Charlisse H Newbell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141134 Issued in TX

Practice address

6825 Huebner Rd Unit 680001
San Antonio, TX 78238-2108

Phone

(210) 518-9488

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MD and MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1992445316
  Medicare reassignment NPD
• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1790247963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 HUEBNER RD UNIT 680001",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382108",
            "telephone_number": "210-518-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 HUEBNER RD UNIT 680001",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382108",
            "telephone_number": "210-518-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBELL",
        "first_name": "CHARLISSE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Way Living Residential Care
• New Way North Counseling, PLLC
• New Ways Better Days
• Judy New
• William Copp Newall III, NP
• Stella Cruickshank Newberger, LMSW
• Madyson Newberry
• Travis R. Newberry, MD
• Jesse Paul Newborn, SOCIAL WORKER
• Christie Newby

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.