Organization Active NPI

Diabetes Healthcare of NH, LLC

  • Adult Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1336323229
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0416582303 Issued in NH
Legal business name
DIABETES HEALTHCARE OF NH, LLC
Practice address
264 S River Rd
Bedford, NH 03110-6824
Phone
(603) 232-8344
Fax
(603) 628-2288
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. James M Harris Jr., ARNP
Title
Owner
Phone
(603) 232-8344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 0416582303 NH Primary

Addresses

Primary practice location

264 S River Rd
Bedford, NH 03110-6824

Mailing address

264 S River Rd
Bedford, NH 03110-6824
Phone (603) 232-8344

National Provider Directory

National Provider Directory
Tax ID family
Diabetes Healthcare of NH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

264 S River Rd
Bedford, NH 03110
Phone (603) 204-8099

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1336323229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106824",
            "telephone_number": "603-232-8344",
            "fax_number": "603-628-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106824",
            "telephone_number": "603-232-8344",
            "fax_number": "603-628-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES HEALTHCARE OF NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-232-8344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "0416582303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.