NPIMap

Organization Active NPI

Cranmore Health Partners, LLC

  • Multi-Specialty Clinic/Center
  • Glen, NH
National Provider Identifier
1194364083
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CRANMORE HEALTH PARTNERS, LLC
Practice address
15 US Rte 302
Unit 1
Glen, NH 03838-6300
Phone
(603) 730-5356
NPI assigned
Dec 26, 2019
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Ms. Kelly C Defeo, CRNA, FNPNPI 1699757906
Title
Partner
Phone
(603) 387-4523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15 US Rte 302
Unit 1
Glen, NH 03838-6300

Mailing address

PO Box 125
Center Conway, NH 03813-0125
Phone (603) 387-4523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414001261 NH Part B Supplier - Clinic/Group Practice 3971933029 Receives reassigned benefits from 8 practitioners
Practice locations: Glen, NH

National Provider Directory

National Provider Directory

Locations

15 US Route 302
Unit 1
Glen, NH 03838
Phone (603) 730-5356

1857 White Mountain Hwy
North Conway, NH 03860
Phone (603) 387-4523

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1194364083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038130125",
            "telephone_number": "603-387-4523",
            "fax_number": "603-369-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 US RTE 302",
            "address_2": "UNIT 1",
            "city": "GLEN",
            "state": "NH",
            "postal_code": "038386300",
            "telephone_number": "603-730-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANMORE HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-387-4523",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA, FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.