Individual provider Active NPI

Katie Lauren Newsome, APRN, FNP-C

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1841969359
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27246 Issued in SC
Practice address
1069 Bayshore Dr
Rock Hill, SC 29732-1569
Phone
(888) 701-4661
Fax
(888) 239-2595
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016644 KY
Family Nurse Practitioner 363LF0000X 27246 SC Primary

Addresses

Primary practice location

1069 Bayshore Dr
Rock Hill, SC 29732-1569

Mailing address

1069 Bayshore Dr
Rock Hill, SC 29732-1569
Phone (888) 701-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240117000301 SC Practitioner - Nurse Practitioner 5092103036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27246SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of South Carolina, LLC CurrentSince Aug 8, 2024 Accepting new patients
Carolina Community Care Inc PastSince Aug 1, 2023 Accepting new patients
Hospice Care of South Carolina, LLC PastSince Dec 29, 2024 Accepting new patients

Locations

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

136 Stonemark Ln
Ste 100
Columbia, SC 29210
Phone (803) 603-4821

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469

Interoperability endpoints

  • Direct secure messaging: kfogle289474@direct.stlukeshealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1841969359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 BAYSHORE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321569",
            "telephone_number": "888-701-4661",
            "fax_number": "888-239-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 BAYSHORE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321569",
            "telephone_number": "888-701-4661",
            "fax_number": "888-239-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "KATIE",
        "middle_name": "LAUREN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.