Individual provider Active NPI

Eleanor L. Maguire, CPNP

  • Pediatric Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1215947593
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
040582-23-02 Issued in NH
Practice address
2300 Southwood Dr
Nashua, NH 03063-1818
Phone
(603) 577-4400
Fax
(603) 577-4454
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 040582-23-02 NH Primary
Pediatric Nurse Practitioner 363LP0200X 141546 MA

Addresses

Primary practice location

2300 Southwood Dr
Nashua, NH 03063-1818

Mailing address

2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4400

Other identifiers 1

IdentifierTypeStateIssuer
30009571MedicaidNH

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
141546MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DH Family Medicine Nashua Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emaguire14623@direct.dartmouth-hitchcock.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1215947593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631818",
            "telephone_number": "603-577-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTHWOOD DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631818",
            "telephone_number": "603-577-4400",
            "fax_number": "603-577-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "ELEANOR",
        "middle_name": "L.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NH",
            "license": "040582-23-02",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "141546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009571",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.