Organization Active NPI

Nightwater Health of New Hampshire Inc

  • Internal Medicine Physician
  • Exeter, NH
National Provider Identifier
1306505094
Registry record updated Dec 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NIGHTWATER HEALTH OF NEW HAMPSHIRE INC
Practice address
111 Water St Ste 3
Exeter, NH 03833-2456
Phone
(603) 247-5442
Fax
(504) 617-6371
NPI assigned
Dec 10, 2021
Last updated
Dec 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NIGHTWATER HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2022

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

Authorized official

Name
Dr. Paul Ikemire, MDNPI 1477870210
Title
Ceo
Phone
(603) 247-5442

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

111 Water St Ste 3
Exeter, NH 03833-2456

Mailing address

111 Water St Ste 4
Exeter, NH 03833-2456
Phone (603) 247-5442

National Provider Directory

National Provider Directory
Part of
Nightwater Health Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670025600000",
    "number": "1306505094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 4",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442",
            "fax_number": "504-617-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 3",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442",
            "fax_number": "504-617-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTWATER HEALTH OF NEW HAMPSHIRE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIGHTWATER HEALTH, INC",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-12-03",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "IKEMIRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-247-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2022; 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.