Active NPI
Marcia Herrin, EDD, MPH, RD, LD
- Registered Dietitian
- Lebanon, NH
National Provider Identifier
1215973748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 71
- Practice address
- 367 Route 120
Suite B-8
Lebanon, NH 03766-1430 - Phone
- (603) 643-7677
- Fax
- (603) 643-3633
- NPI assigned
- Jun 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 71 | NH | Primary |
Addresses
Primary practice location
367 Route 120
Suite B-8
Lebanon, NH 03766-1430
Mailing address
PO Box 154
Enfield Center, NH 03749-0154
Phone (603) 632-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090306000457 | NH | Practitioner - Registered Dietitian Or Nutrition Professional | 1951467497 | Practice locations: Enfield, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Goodhue Hill Rd
Enfield, NH 03748-4117
Phone (603) 304-2137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan R. Tucker, MD,P.C. | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Norwich, VT
- NPI 1821500604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1215973748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "ENFIELD CENTER",
"state": "NH",
"postal_code": "037490154",
"telephone_number": "603-632-4084",
"fax_number": "603-646-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 ROUTE 120",
"address_2": "SUITE B-8",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-7677",
"fax_number": "603-643-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "MARCIA",
"name_prefix": "Ms.",
"credential": "EDD, MPH, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "71",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.