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.

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

ContractorPrimary171W00000X
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

More NM providers

Mailing address