Active NPI
Pamela B Stuppy, RD
- Registered Dietitian
- Portsmouth, NH
National Provider Identifier
1164502894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 23
- Practice address
- 1 New Hampshire Ave
Suite 125
Portsmouth, NH 03801-2904 - Phone
- (207) 363-8392
- Fax
- (207) 363-8392
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1610 | ME | |
| Registered Dietitian | 133V00000X | 23 | NH | Primary |
Addresses
Primary practice location
1 New Hampshire Ave
Suite 125
Portsmouth, NH 03801-2904
Mailing address
PO Box 251
York Harbor, ME 03911
Phone (207) 363-8392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1610 | ME | MD | Registered Dietitian |
| 23 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1164502894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "YORK HARBOR",
"state": "ME",
"postal_code": "03911",
"telephone_number": "207-363-8392",
"fax_number": "207-363-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NEW HAMPSHIRE AVE",
"address_2": "SUITE 125",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012904",
"telephone_number": "207-363-8392",
"fax_number": "207-363-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUPPY",
"first_name": "PAMELA",
"middle_name": "B",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "D1610",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.