JACQUE NEWMAN CO NPI 1982292561

NPI Information

  • NPI: 1982292561
  • Provider Name: JACQUE NEWMAN, CO
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Individual
  • Address: 221 STATE HIGHWAY 165 STE F
    PLACITAS, NM
    ZIP 87043
  • Phone: (505) 353-2484

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NPI Details

Jacque Newman, CO is a prosthetic orthotic supplier in Placitas, NM. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Jacque Newman, CO NPI is 1982292561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 STATE HIGHWAY 165 STE F
PLACITAS, NM
ZIP 87043-514
Phone: (505) 353-2484

The enumeration date for this NPI number is 1/8/2021 and was last updated on 4/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotistNo
2224900000XMastectomy FitterNo
3224P00000XProsthetistNo
4335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106551769MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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