Organization Active NPI

Twin State Wellness

  • Primary Care Clinic/Center
  • Hanover, NH
National Provider Identifier
1134055502
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TWIN STATE WELLNESS
Practice address
12 South St Ste 3B
Hanover, NH 03755-2163
Phone
(603) 359-3508
Fax
(603) 359-3508
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Kerry O'Hara, DNP, AGNP-C
Title
Nurse Practitioner
Phone
(603) 359-3508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12 South St Ste 3B
Hanover, NH 03755-2163

Mailing address

12 South St Ste 3B
Hanover, NH 03755-2163
Phone (603) 359-3508

National Provider Directory

National Provider Directory

Locations

12 South St
Ste 3B
Hanover, NH 03755

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1134055502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SOUTH ST STE 3B",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552163",
            "telephone_number": "603-359-3508",
            "fax_number": "603-359-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SOUTH ST STE 3B",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552163",
            "telephone_number": "603-359-3508",
            "fax_number": "603-359-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN STATE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "603-359-3508",
        "authorized_official_credential": "DNP, AGNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.