Individual provider Active NPI

Denise Holton Newby, CFM

  • Mastectomy Fitter
  • Dothan, AL
National Provider Identifier
1992217285
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
368 Issued in AL
Practice address
2800 Ross Clark Cir Ste 1
Dothan, AL 36301-2039
Phone
(334) 793-2211
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X 00000000000000000368 AL
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X 368 AL Primary

Addresses

Primary practice location

2800 Ross Clark Cir Ste 1
Dothan, AL 36301-2039

Mailing address

3739 Jordon Ave
Cowarts, AL 36321-5634
Phone (334) 797-9273

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

State licenses

LicenseStateTypeSpecialty
368ALMDPodiatrist
00000000000000000368ALMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
The Pink Alternative LLC Single Specialty Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1992217285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 JORDON AVE",
            "city": "COWARTS",
            "state": "AL",
            "postal_code": "363215634",
            "telephone_number": "334-797-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR STE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012039",
            "telephone_number": "334-793-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "DENISE",
        "middle_name": "HOLTON",
        "credential": "CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "AL",
            "license": "00000000000000000368",
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "AL",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.