Active NPI
Emily Kirouac, R.D., L.D.
- Registered Dietitian
- Manchester, NH
National Provider Identifier
1356887541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0837
- Practice address
- 1 Highlander Way
Manchester, NH 03103-7403 - Phone
- (603) 668-4753
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 0837 | NH | Primary |
Addresses
Primary practice location
1 Highlander Way
Manchester, NH 03103-7403
Mailing address
1 Highlander Way
Manchester, NH 03103-7403
Phone (603) 668-4753
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0837 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Health & Sports Center Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Manchester, NH
- NPI 1881080935
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1356887541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HIGHLANDER WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031037403",
"telephone_number": "603-668-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HIGHLANDER WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031037403",
"telephone_number": "603-668-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIROUAC",
"first_name": "EMILY",
"name_prefix": "Ms.",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.