Active NPI
Emmalie Bliss Connor, APRN
- Nurse Practitioner
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 086471-23
- Practice address
- 19 Old Rollinsford Rd BLDG B
Dover, NH 03820-2807 - Phone
- (603) 516-4265
- NPI assigned
- Mar 10, 2017
- Last updated
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 086471-23 | NH | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | RN2285154 | MA |
Addresses
Primary practice location
19 Old Rollinsford Rd BLDG B
Dover, NH 03820-2807
Mailing address
PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884
Other practice location 1
55 Fruit St
Ellison 11
Boston, MA 02114-2621
Phone (617) 724-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3131690 | Medicaid | NH |
Other names 1
- Emmalie Bliss Norrman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Old Rollinsford Rd
BLDG B
Dover, NH 03820-2807
Phone (603) 516-4265
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086471-23 | NH | MD | Nurse Practitioner |
| RN2285154 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| The General Hospital Corporation | Past | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#11
Boston, MA 02114
Phone (617) 724-5110
19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529
3 Terrascape Pkwy
Somersworth, NH 03878
Phone (603) 609-6726
Interoperability endpoints
- connor.emmalie.mgh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Diabetes Educator Registered Nurse
- Dover, NH
- NPI 1336751825
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
dba Moultonborough Family Medicine
- Family Medicine Physician
- Moultonborough, NH
- NPI 1639166077
Hospital
-
dba Alton Family Medicine
- Family Medicine Physician
- Alton, NH
- NPI 1871534792
Hospital
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1023559093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412503",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412503",
"telephone_number": "617-726-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 OLD ROLLINSFORD RD BLDG B",
"city": "DOVER",
"state": "NH",
"postal_code": "038202807",
"telephone_number": "603-516-4265"
}
],
"practiceLocations": [
{
"address_1": "55 Fruit St",
"address_2": "Ellison 11",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-724-5110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNOR",
"first_name": "EMMALIE",
"middle_name": "BLISS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "086471-23",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN2285154",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3131690",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMMALIE",
"last_name": "NORRMAN",
"middle_name": "BLISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.