DIABETES HEALTHCARE OF NH, LLC (NPI# 1336323229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336323229 |
| Entity Type | Organization |
| Organization Name | DIABETES HEALTHCARE OF NH, LLC |
| Practice Address |
264 S River Rd Bedford NH 03110-6824 |
| Practice Telephone | 6032328344 |
| Practice Fax Number | 6036282288 |
| Mailing Telephone | 6032328344 |
| Mailing Fax Number | 6036282288 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | MR. JAMES M HARRIS JR. (OWNER) |
| Authorized Official Telephone | 6032328344 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0416582303 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
264 S RIVER RD |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231012 | Diane Louise Vaccarello | Marriage & Family Therapist | 264 S River Rd, Bedford, NH 03110-6824 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769173 | Annette Theresa Pohlchuck | Nurse Practitioner | 44 Blaine Ave Fl 4, Bedford, OH 44146-2709 | 2018-08-07 |
| 1831335173 | Kimberly Ann Koch | Nurse Practitioner | 1305 Airport Fwy Ste 405, Bedford, TX 76021-6607 | 2008-12-16 |
| 1205912995 | Lisa A Kleindorfer | Nurse Practitioner | 2424 Q St, Bedford, IN 47421-4734 | 2006-10-27 |
| 1629175146 | Ann Louise Paladin | Nurse Practitioner | Edith North Hospital, 200 Springs Rd, Bedford, MA 01730-1198 | 2006-09-19 |
| 1548282718 | Elizabeth Mary Cullity | Nurse Practitioner | 300 Springs Road, Bedford, MA 01730 | 2006-07-24 |
| 1942204540 | Judy A Custer | Nurse Practitioner | 342 Richard St, Bedford, PA 15522 | 2005-06-10 |
| 1770587024 | Gloria Just | Nurse Practitioner | 217 Washington Street, Bedford, VA 24523 | 2005-06-02 |
| 1851905970 | Kortney Nicole Curtis | Nurse Practitioner | 2811 Washington Ave, Bedford, IN 47421-5310 | 2020-09-04 |
| 1750912960 | Stephanie Holdcroft | Nurse Practitioner | 3251 Shawnee Dr S, Bedford, IN 47421-5277 | 2020-01-28 |
| 1104348903 | Nidish Jose | Nurse Practitioner | 2700 Tibbets Dr Ste 300, Bedford, TX 76022-5938 | 2017-07-13 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on DIABETES HEALTHCARE OF NH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.