IndividualActive
Shane Newsom, 390200000X
NPI 1578184990 · Contractor · Albuquerque, NM
Shane Newsom, 390200000X is a Contractor provider in Albuquerque, NM (NPI 1578184990).
Provider details
- NPI number
- 1578184990
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- 390200000X
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12300 Modesto Ave Ne
Albuquerque, NM 87122-2232
Phone: (505) 553-4835
Street-level locationGet directions
Mailing address
12300 Modesto Ave Ne
Albuquerque, NM 87122-2232
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2020-04-27
- Certified
- 2020-04-27
Frequently asked questions
- What is Shane Newsom's NPI number?
- Shane Newsom's National Provider Identifier (NPI) is 1578184990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Newsom's specialty?
- Shane Newsom is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Shane Newsom located?
- Shane Newsom's practice location on file with NPPES is 12300 Modesto Ave Ne, Albuquerque, NM 87122-2232.
- What is Shane Newsom's phone number?
- The practice phone number listed in the NPPES registry for Shane Newsom is (505) 553-4835.
- Is Shane Newsom's NPI active?
- Yes — Shane Newsom's NPI (1578184990) is active in the NPPES registry as of the last update on 2020-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.