Individual provider Active NPI

Kristin L Guidice, APRN

  • Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1073194189
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
070125-23 Issued in NH
Practice address
One Medical Center Drive
Lebanon, NH 03756-0001
Phone
(603) 650-5109
NPI assigned
Apr 20, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 070125-23 NH Primary

Addresses

Primary practice location

One Medical Center Drive
Lebanon, NH 03756-0001

Mailing address

17 Prospect St Ste N203
Nashua, NH 03060-3964
Phone (603) 577-3366

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914000430 NH Practitioner - Nurse Practitioner 6507262755 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

17 Prospect St
Nashua, NH 03060-3956
Phone (603) 577-2663

87 McGregor St
Suite 3100
Manchester, NH 03102-3766
Phone (603) 627-1887

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
070125-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Foundation Medical Partners Inc CurrentSince Nov 1, 2023 Accepting new patients
Appledore Medical Group, Inc. CurrentSince Jan 2, 2026 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 1, 2021 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Nov 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Appledore Medical Group, Inc CurrentSince Jan 2, 2026 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

87 McGregor St
Ste 3100
Manchester, NH 03102
Phone (603) 627-1887

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

17 Prospect St
Nashua, NH 03060
Phone (603) 577-2663

17 Prospect St
Ste N203
Nashua, NH 03060
Phone (603) 577-2663

505 W Hollis St
Ste 106
Nashua, NH 03062
Phone (603) 577-1613

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kguidice88402@direct.solutionhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1073194189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PROSPECT ST STE N203",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603964",
            "telephone_number": "603-577-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDICE",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "070125-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.