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

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.

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 (32 clinicians)
Greater Hampstead Family Medicine Inc (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
480NHMDClinical Social Worker

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2025.

{
    "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

All providers in Plymouth, NH · Registered Dietitian in New Hampshire

Sources for this page

Verify at the official NPI Registry.