Individual provider Active NPI

Halary Patch

  • Nurse Practitioner
  • Derry, NH
National Provider Identifier
1255631248
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN267289 Issued in MA
Practice address
6 Tsienneto Rd Ste 100
Derry, NH 03038
Phone
(603) 537-1300
NPI assigned
Oct 25, 2010
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0101127-C-NP CO
Nurse Practitioner 363L00000X 055535-21 NH
Nurse Practitioner 363L00000X RN267289 MA Primary
Nurse Practitioner 363L00000X 5019108 NC
Nurse Practitioner 363L00000X GAA-NP001936 GA
Nurse Practitioner 363L00000X AP61478090 WA
Nurse Practitioner 363L00000X 299068 AZ
Adult Health Nurse Practitioner 363LA2200X 1134945 TX

Addresses

Primary practice location

6 Tsienneto Rd Ste 100
Derry, NH 03038

Mailing address

6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO, TX, WA, AZ, NC, NH, OR, NY, IA10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20110920000109 MA Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 3 organizations
I20240115001301 CO Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 2 organizations
I20240115001379 TX Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 1 organization
I20240122002455 WA Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 2 organizations
I20241219002764 AZ Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 1 organization
I20250206000981 NC Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 1 organization
I20250403002524 NH Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 5 organizations
I20260211001989 OR Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 2 organizations
I20260415000206 NY Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 1 organization
I20260430001808 IA Practitioner - Nurse Practitioner 0840461018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Health Massachusetts, P.C.Group PAC ID 9638435035, 12 clinicians
Iora Health Texas, PLLCGroup PAC ID 2668702465, 22 clinicians
Iora Senior Health LLCGroup PAC ID 0143520189, shared by 4 NPIs, 117 clinicians
One Medical, P.C.Group PAC ID 3375872369, 11 clinicians
Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians

Practice addresses (Care Compare)

1070 Iyannough Rd
Suite I10
Hyannis, MA 02601-8110
Phone (508) 948-3400

12266 Farm to Market 1960 Rd W
Houston, TX 77065-5073
Phone (281) 720-8998

1414 S 324TH St
Suite B207
Federal Way, WA 98003-8444
Phone (888) 405-6396

3202 E Greenway Rd
Suite 1401
Phoenix, AZ 85032-4511
Phone (888) 405-6396

3351 Battleground Ave
Greensboro, NC 27410-2401
Phone (336) 645-7900

4414 N Fwy
Suite 300
Houston, TX 77022-3657
Phone (713) 589-8643

8175 Sheridan Blvd
Unit N
Arvada, CO 80003-1928
Phone (303) 557-0855

9440A Hwy 6 S
Houston, TX 77083-6307
Phone (281) 408-4488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
299068AZMDNurse Practitioner
C-APN.0101127-C-NPCOMDNurse Practitioner
GAA-NP001936GAMDNurse Practitioner
RN267289MAMDNurse Practitioner
5019108NCMDNurse Practitioner
055535-21NHMDNurse Practitioner
AP61478090WAMDNurse Practitioner
1134945TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jan 27, 2022 Accepting new patients
Iora Health Washington Physicians, P.C. Current Accepting new patients
Iora Health Colorado, P.C. CurrentSince Dec 6, 2023 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Dec 11, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince Feb 26, 2025 Accepting new patients
Iora Health Texas, PLLC CurrentSince Dec 6, 2023 Accepting new patients
One Medical, P.C. Current Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Dec 6, 2023 Accepting new patients
Iora Health Massachusetts, P.C. Current Accepting new patients
Simonmed Reno PLLC CurrentSince Feb 26, 2025 Accepting new patients
Iora Health Colorado, P.C. CurrentSince Dec 6, 2023 Accepting new patients
Heartbeat Medical Group PC CurrentSince Apr 7, 2026 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 30, 2024 Accepting new patients
Portland Clinic Adult Health CurrentSince Jan 20, 2026 Accepting new patients
Iora Health Colorado, P.C. Current Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Sep 26, 2024 Accepting new patients
Howard Simon MD PLLC CurrentSince Feb 24, 2025 Accepting new patients
Iora Health Washington Physicians, P.C. CurrentSince Dec 11, 2023 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 30, 2024 Accepting new patients
Iora Health Texas, PLLC CurrentSince Dec 6, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jan 27, 2022 Accepting new patients
Iora Health Massachusetts, P.C. CurrentSince Oct 12, 2025 Accepting new patients
One Medical, P.C. CurrentSince Sep 25, 2024 Accepting new patients
Howard John Simon MD PC CurrentSince Feb 24, 2025 Accepting new patients
Smi Imaging, LLC Nurse Practitioner CurrentSince Feb 24, 2025 Accepting new patients
Iora Senior Health, LLC CurrentSince Sep 26, 2024 Accepting new patients
Simonmed Imaging Florida LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Iora Health Texas, PLLC Past Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients
Derry Medical Center, PA PastSince Jun 4, 2023 Accepting new patients
Mustali M Dohadwala MD LLC PastSince Jan 8, 2018 Accepting new patients

Locations

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3202 E Greenway Rd
Ste 1401
Phoenix, AZ 85032
Phone (602) 325-5577

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

8175 Sheridan Blvd
Unit N
Arvada, CO 80003
Phone (303) 557-0855

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400

3351 Battleground Ave
Greensboro, NC 27410
Phone (336) 645-7900

274 Eastchester Dr
Ste 120
High Point, NC 27262
Phone (336) 542-2992

156 W 56th St
Ste 1000
New York, NY 10019
Phone (646) 568-9908

800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161

9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161

4414 North Fwy
Ste 300
Houston, TX 77022
Phone (713) 589-8643

5323 Antoine Dr
Houston, TX 77091
Phone (713) 493-6437

9440A Highway 6 S
Houston, TX 77083
Phone (281) 408-4488

1414 S 324th St
Ste B207
Federal Way, WA 98003
Phone (253) 220-3121

3705 S Meridian
Ste B
Puyallup, WA 98373
Phone (253) 765-5050

64 Rainier Ave S
Ste I
Renton, WA 98057
Phone (425) 224-2144

15214 Aurora Ave N
Shoreline, WA 98133
Phone (206) 518-9021

5006 Center St
Ste R
Tacoma, WA 98409
Phone (253) 275-0200

Interoperability endpoints

  • Direct secure messaging: halary.patch.1@29601.direct.athenahealth.com
  • Direct secure messaging: halaryleblanc@dmcnh.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/17911/brand/1/csg/1/fhir/r4

Organizations & group practices 37

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 37

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1255631248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD STE 102",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 100",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-537-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCH",
        "first_name": "HALARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0101127-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "055535-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN267289",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019108",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP001936",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61478090",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "299068",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1134945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.