NPIMap

Organization Active NPI

Southern New Hampshire Nurse Practitioners LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampton, NH
National Provider Identifier
1255888434
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
046771-23 Issued in NH
Legal business name
SOUTHERN NEW HAMPSHIRE NURSE PRACTITIONERS LLC
Practice address
428 Lafayette Rd
Suite 101
Hampton, NH 03842-2267
Phone
(603) 395-1724
Fax
(888) 979-8717
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mr. Robert E Dillon, MS, APRNNPI 1699709097
Title
Nurse Practitioner/Sole Member
Phone
(603) 866-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 046771-23 NH Primary
Primary Care Clinic/Center 261QP2300X 046771-23 NH

Addresses

Primary practice location

428 Lafayette Rd
Suite 101
Hampton, NH 03842-2267

Mailing address

428 Lafayette Rd Apt 101
PO Box 171
Hampton, NH 03842-2268
Phone (603) 395-1724

Other identifiers 1

IdentifierTypeStateIssuer
30344609MedicaidNH

National Provider Directory

National Provider Directory

Locations

428 Lafayette Rd
Apt 101
Hampton, NH 03842
Phone (603) 395-1724

Practitioners & affiliated clinicians

Practitioners 1

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": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1255888434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 LAFAYETTE RD APT 101",
            "address_2": "PO BOX 171",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422268",
            "telephone_number": "603-395-1724",
            "fax_number": "888-979-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 LAFAYETTE RD",
            "address_2": "SUITE 101",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422267",
            "telephone_number": "603-395-1724",
            "fax_number": "888-979-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW HAMPSHIRE NURSE PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/SOLE MEMBER",
        "authorized_official_telephone_number": "603-866-1881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NH",
            "license": "046771-23",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NH",
            "license": "046771-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30344609",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.