{
"Npi": {
"NPI": "1063055762",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NEWSOME",
"FirstName": "CHELSEA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "NP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "224 KENWOOD CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRISTOL",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37620-8754",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-870-3623",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "739 BLUFF CITY HWY STE 3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRISTOL",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37620-4637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-534-9195",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/25/2019",
"LastUpdateDate": "01/08/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "26722",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "0024193381",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}