Denise Poudrier Normandin, MA, RD, LD, DIPACLM
Individual provider Active NPI Registered Dietitian · Plymouth, NH
NPI 1104091578 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1104091578
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 480 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- 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 Center
Greater Hampstead Family Medicine Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190307002141 | NH | Practitioner - Registered Dietitian Or Nutrition Professional | 0446599534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 480 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Dietitian, Registered | Current | Accepting new patients |
| Greater Hampstead Family Medicine, Inc. | Current |
Accepting new patients | |
| Mid-State Health Center | Current |
Accepting new patients | |
| Mid-State Health Center | Current | Accepting new patients | |
| Mid-State Health Center | Current |
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
- denisenormandin@tdh.allscriptsdirect.net
- https://fhir4.healow.com/fhir/r4/GJGBAA/Endpoint/GJGBAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 480 | NH | Yes |
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
NPI Registry JSON
{
"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
- New England Interventional Pain Specialties
- New England Sound LLC
- Beth Newton Veasey
- Jeanette Lynn Nogales
- Dorothy Jeanne Nold
- Jamie O'Brien
- Kara O'Brien
- Christine O'Meara
- Maren O'Neil
- David G. Olarsch
All providers in Plymouth, NH · Registered Dietitian in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.