Active NPI
Ann G Petersson, RD
- Registered Dietitian
- Concord, NH
National Provider Identifier
1063915684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0936
- Practice address
- 18 N Main St Ste 304
Concord, NH 03301-4926 - Phone
- (603) 223-8119
- Fax
- (603) 223-8130
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0936 | NH | Primary |
Addresses
Primary practice location
18 N Main St Ste 304
Concord, NH 03301-4926
Mailing address
18 N Main St Ste 304
Concord, NH 03301-4926
Phone (603) 223-8119
Other names 1
- Ann Griffith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0936 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
| Nutrition Works NH LLC | Dietitian, Registered | Current | Accepting new patients |
| Keepcare LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
18 N Main St
Ste 304
Concord, NH 03301
Phone (603) 223-8119
18 N Main St
Ste 303
Concord, NH 03301
Phone (603) 219-0527
Interoperability endpoints
- annpetersson@tdh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1063915684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N MAIN ST STE 304",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014926",
"telephone_number": "603-223-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N MAIN ST STE 304",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014926",
"telephone_number": "603-223-8119",
"fax_number": "603-223-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSSON",
"first_name": "ANN",
"middle_name": "G",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2021-09-28",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "GRIFFITH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.