JENNIFER MELISSA NEWSOM (NPI# 1700131802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700131802 |
| Entity Type | Individual |
| Full Name | JENNIFER MELISSA NEWSOM |
| Other Name | MISSY NEWSOM |
| Credential | P.T. |
| Practice Address |
120c Springhall Dr Goose Creek SC 29445-5335 |
| Mailing Address |
532 Country Place Rd Mount Pleasant SC 29464-8258 |
| Practice Telephone | 8432160290 |
| Mailing Telephone | 5013397400 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 6673 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5T910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124421227 | Jennifer Newsom | Registered Nurse | 15 Prospect Ave, Medford, NY 11763-1621 | 2014-10-02 |
| Street Address |
120C SPRINGHALL DR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770593915 | Candace Genevieve Fritz | Occupational Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2006-08-09 |
| 1437384948 | Joyce Addelyn Middleton | Speech-Language Pathologist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2009-05-28 |
| 1093954786 | Jessica Ashmore Mcclintock | Occupational Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2009-02-19 |
| 1538314927 | Jodie F Collier | Physical Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2008-11-26 |
| 1710134432 | Sarah E Heinke | Speech-Language Pathologist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2008-08-25 |
| 1134303480 | Sharon M Wellmon | Speech-Language Pathologist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2007-12-21 |
| 1699955104 | Elizabeth Felton Chamblee | Speech-Language Pathologist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2007-11-13 |
| 1174656185 | Cristina Reyes Smith | Occupational Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2007-03-13 |
| 1013067370 | Buffie Bell | Occupational Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2007-01-11 |
| 1902997307 | Carolyn Underhill | Occupational Therapist | 120c Springhall Dr, Goose Creek, SC 29445-5335 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
| 1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
| 1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
| 1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
| 1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
| 1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
| 1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
| 1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
| 1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
| 1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.