Individual provider Active NPI

Adam Christopher Newell, RN

  • Registered Nurse
  • Burlington, NC
National Provider Identifier
1972041119
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
197661 Issued in NC
Practice address
2505 S Mebane St Ste a-B
Burlington, NC 27215-6385
Phone
(336) 223-0444
Fax
(336) 223-0449
NPI assigned
Feb 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 97670 SC
Registered Nurse 163W00000X 197661 NC Primary

Addresses

Primary practice location

2505 S Mebane St Ste a-B
Burlington, NC 27215-6385

Mailing address

2505 S Mebane St Ste a-B
Burlington, NC 27215-6385
Phone (336) 223-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
197661NCMDRegistered Nurse
97670SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1972041119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S MEBANE ST STE A-B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156385",
            "telephone_number": "336-223-0444",
            "fax_number": "336-223-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S MEBANE ST STE A-B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156385",
            "telephone_number": "336-223-0444",
            "fax_number": "336-223-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "ADAM",
        "middle_name": "CHRISTOPHER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "97670",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "197661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.