WHOLE LIFE HEALTH CARE, PA (NPI# 1770646614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770646614 |
| Entity Type | Organization |
| Organization Name | WHOLE LIFE HEALTH CARE, PA |
| Practice Address |
100 Shattuck Way Suite 100 Newington NH 03801-8004 |
| Practice Telephone | 6034316677 |
| Practice Fax Number | 6036102232 |
| Mailing Telephone | 6034316677 |
| Mailing Fax Number | 6036102232 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | AMY M COOMBS (OWNER) |
| Authorized Official Telephone | 6034316677 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 4345 | 01 |
| Street Address |
100 SHATTUCK WAY SUITE 100 |
| City | NEWINGTON |
| State | NH |
| Zip Code | 03801-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386389 | Mary Lynn Fahey | Nurse Practitioner | 100 Shattuck Way, Ste 100, Newington, NH 03801-8007 | 2005-06-20 |
| 1881173847 | Travis Palmer | Nurse Practitioner | 100 Shattuck Way, Newington, NH 03801-8004 | 2018-08-10 |
| 1770060006 | Soul's Nest Counseling & Wellness, LLC | Clinic/Center | 100 Shattuck Way, Newington, NH 03801-8004 | 2018-07-19 |
| 1972050359 | Carli Genet | Counselor | 100 Shattuck Way, Newington, NH 03801 | 2016-09-02 |
| 1730529678 | Naturae LLC | Homeopath | 100 Shattuck Way, Newington, NH 03801-8004 | 2013-06-25 |
| 1760736060 | Satnarayan Singh Khalsa | Chiropractor | 100 Shattuck Way, Newington, NH 03801-8004 | 2012-11-08 |
| 1487946257 | The Touch of Sunshine, LLC | Physical Therapist | 100 Shattuck Way, Newington, NH 03801-8004 | 2011-05-11 |
| 1588892657 | Andrea Moreno Rutherford | Interpreter | 100 Shattuck Way, Suite 205, Newington, NH 03801-8004 | 2009-06-29 |
| 1477706661 | Nicole T Schertell | Naturopath | 100 Shattuck Way, Newington, NH 03801-8004 | 2008-10-31 |
| 1154522332 | Anna O Swan | Nurse Practitioner | 100 Shattuck Way, Suite 100, Newington, NH 03801-8004 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073692349 | Joanne Louise Marino | Nurse Practitioner | Va Newington, 555 Willard Avenue, Newington, CT 06111 | 2006-11-06 |
| 1760448807 | Shilo Lee Hutchins | Nurse Practitioner | 302 Newmarket St, Va Primary Care Clinic Portsmouth Cboc, Newington, NH 03803 | 2006-04-26 |
| 1578018776 | Melissa Dest | Nurse Practitioner | 555 Willard Ave, Newington, CT 06111-2631 | 2016-08-18 |
| 1407300593 | Jessica Prisco | Nurse Practitioner | 555 Willard Ave, Newington, CT 06111-2631 | 2016-08-07 |
| 1326371261 | Mark Paul Bielawski Jr. | Nurse Practitioner | Veterans Administration, 555 Willard Avenue, Newington, CT 06111 | 2009-09-10 |
| 1932149770 | Peter Weiss | Nurse Practitioner | 555 Willard Ave, Newington, CT 06111-2631 | 2006-06-08 |
| 1659311942 | Janet Elaine Flagg | Nurse Practitioner | 555 Willard Ave, Newington, CT 06111-2631 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578112025 | Dorothy Lee Jordan | Nurse Practitioner | 10a Loren Rd, Salem, NH 03079-3127 | 2019-09-07 |
| 1518477389 | Jessica Georgia Hull | Nurse Practitioner | 199 Rte. 101, Amherst, NH 03031 | 2017-10-06 |
| 1346799459 | Anavernyel Neyland | Nurse Practitioner | 149 Emerald St Ste U, Keene, NH 03431-3660 | 2016-09-30 |
| 1366826828 | Keady Family Practice | Nurse Practitioner | 71 Belknap Ave, Newport, NH 03773-1536 | 2015-07-15 |
| 1578996948 | Lauren Jennifer Mcmullen | Nurse Practitioner | 25 New Hampshire Ave Ste 100, Portsmouth, NH 03801 | 2013-08-20 |
| 1750543773 | David J Campopiano, Arnp | Nurse Practitioner | 30 Route 103, Sunapee, NH 03782-3512 | 2008-07-01 |
| 1336208701 | Douglas G Macneil | Nurse Practitioner | 580 Court St # 590, Keene, NH 03431-1718 | 2006-12-08 |
| 1164478517 | Colleen S Lynch | Nurse Practitioner | 85 Main Street, Somersworth Plaza, Somersworth, NH 03878-3129 | 2006-05-26 |
| 1770112195 | Kelly Pelletier | Nurse Practitioner | 677 Court St, Keene, NH 03431-1702 | 2020-04-07 |
| 1588215594 | Nicole D Adam | Nurse Practitioner | 10 Ferry St Ste 201, Concord, NH 03301-5081 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
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| 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.