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SHELLEY D NEWSOM LPN
NPI 1053517375
Licensed Practical Nurse in Beaver Dams, NY

Active since June 23, 2007
223 KING RD, BEAVER DAMS, NY 14812(607) 739-4787 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelley D Newsom Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLEY D NEWSOM LPN (NPI 1053517375) is an individual licensed practical nurse in Beaver Dams, New York, licensed in New York (200513-1) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053517375
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLEY D NEWSOMCredential: LPN
Location Address223 KING RDBeaver Dams, NY 14812-9156
Mailing Address223 King RdBeaver Dams, NY 14812-9156 · (607) 739-4787
Phone(607) 739-4787
Sole ProprietorYes
Enumeration DateJune 23, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1053517375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 200513-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
223 KING RD, Beaver Dams, NY 14812
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Other Identifiers 1

Medicaid01171622NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelley Newsom's NPI number?

The NPI number for Shelley Newsom is 1053517375. It was assigned to this individual provider in the NPPES registry on June 23, 2007.

Where is Shelley Newsom located?

Shelley Newsom practices at 223 King Rd, Beaver Dams, NY 14812. The listed phone number is (607) 739-4787.

What is Shelley Newsom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelley Newsom was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.