Individual provider Active NPI

Denise Poudrier Normandin, MA, RD, LD, DIPACLM

  • Registered Dietitian
  • Plymouth, NH
National Provider Identifier
1104091578
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
480 Issued in NH
Practice address
101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone
(603) 536-4000
Fax
(603) 536-4001
NPI assigned
Apr 28, 2008
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 480 NH Primary

Addresses

Primary practice location

101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170

Mailing address

233 Stark St
Gilford, NH 03249-6437
Phone (603) 707-2169

Other practice location 1

152 Colby St
Colebrook, NH 03576-3049
Phone (603) 707-2169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002141 NH Practitioner - Registered Dietitian Or Nutrition Professional 0446599534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians
Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians

Practice addresses (Care Compare)

100 Robie Rd
Alexandria, NH 03222-6063
Phone 60374462001004

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

28 Main St
Plymouth, NH 03264-1440
Phone (603) 536-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Dietitian, Registered Current Accepting new patients
Greater Hampstead Family Medicine, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Mid-State Health Center Current Accepting new patients
Mid-State Health Center CurrentSince Dec 21, 2024 Accepting new patients
Mid-State Health Center CurrentSince Dec 21, 2024 Accepting new patients
Mid-State Health Center Past Accepting new patients

Locations

100 Robie Rd
Alexandria, NH 03222
Phone (603) 744-6200

11 Washington Pl
Ste 1
Bedford, NH 03110
Phone (603) 622-3670

55 Bridge St
Manchester, NH 03101

15 Riverside St
Nashua, NH 03062
Phone (603) 622-3670

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

159 N Broadway
Salem, NH 03079
Phone (603) 893-4119

Interoperability endpoints

  • Direct secure messaging: denisenormandin@tdh.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGBAA/Endpoint/GJGBAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1104091578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 STARK ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496437",
            "telephone_number": "603-707-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOULDER POINT DR STE 1",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643170",
            "telephone_number": "603-536-4000",
            "fax_number": "603-536-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Colby St",
            "address_purpose": "LOCATION",
            "city": "Colebrook",
            "state": "NH",
            "postal_code": "035763049",
            "country_code": "US",
            "telephone_number": "603-707-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMANDIN",
        "first_name": "DENISE",
        "middle_name": "POUDRIER",
        "name_prefix": "Mrs.",
        "credential": "MA, RD, LD, DIPACLM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.