Provider Demographics
NPI:1063229714
Name:NEWPORT-HEWITT, ERICA RAFEAL (CD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:RAFEAL
Last Name:NEWPORT-HEWITT
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:RAFEAL
Other - Middle Name:
Other - Last Name:NEWPORT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CD
Mailing Address - Street 1:370 45TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-2255
Mailing Address - Country:US
Mailing Address - Phone:916-629-4844
Mailing Address - Fax:
Practice Address - Street 1:370 45TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2255
Practice Address - Country:US
Practice Address - Phone:916-629-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula