Active NPI
Theresa Frances Davis, RD
- Registered Dietitian
- Manchester, NH
National Provider Identifier
1336316561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0515
- Practice address
- 100 McGregor St
Cardiac Rehab Level D
Manchester, NH 03102-3730 - Phone
- (603) 663-6292
- Fax
- (603) 663-8792
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 0515 | NH | Primary |
Addresses
Primary practice location
100 McGregor St
Cardiac Rehab Level D
Manchester, NH 03102-3730
Mailing address
100 McGregor St
Cardiac Rehab, Level D
Manchester, NH 03102-3730
Phone (603) 663-6292
Other names 1
- Theresa Frances Kosmala
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0515 | NH | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1336316561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"address_2": "CARDIAC REHAB, LEVEL D",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-6292",
"fax_number": "603-663-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"address_2": "CARDIAC REHAB LEVEL D",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "603-663-6292",
"fax_number": "603-663-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "THERESA",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "KOSMALA",
"middle_name": "FRANCES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.