Heather M Grenon, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

062161-23 Issued in NH

Practice address

Hillside Family Medicine
14 Maple Street Suite 210
Gilford, NH 03249-6578

Phone

(603) 527-7114

Fax

(603) 527-2945

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speare Health Ventures IncGroup PAC ID 4789901950, 18 clinicians

Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Nashua, NH
  • NPI 1851082291
  Medicare reassignment Care Compare group NPD
• Speare Health Ventures, Inc.

  • Urgent Care Clinic/Center
  • Plymouth, NH
  • NPI 1922532688
  Medicare reassignment Care Compare group NPD
• Lrghealthcare

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1700976032
  Medicare reassignment NPD
• Speare Memorial Hospital

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047
  Medicare reassignment NPD
• Speare Memorial Hospital

  • Critical Access Hospital
  • Plymouth, NH
  • NPI 1760496376
  Medicare reassignment NPD
• Concord Hospital-Franklin

  • Critical Access Hospital
  • Franklin, NH
  • NPI 1114005535
  NPD
• Speare Health Ventures Inc

  • Urgent Care Clinic/Center
  • Meredith, NH
  • NPI 1780494088
  NPD
• Speare Memorial Hospital

  • Family Medicine Physician
  • Meredith, NH
  • NPI 1669161659
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Belmont, NH
  • NPI 1578254900
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1396201380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471327",
            "telephone_number": "603-524-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLSIDE FAMILY MEDICINE",
            "address_2": "14 MAPLE STREET SUITE 210",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496578",
            "telephone_number": "603-527-7114",
            "fax_number": "603-527-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-524-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Daniel Webster Hwy",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NH",
            "postal_code": "032203028",
            "country_code": "US",
            "telephone_number": "603-737-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Loudon Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015300",
            "country_code": "US",
            "telephone_number": "603-226-9000",
            "fax_number": "603-226-2268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENON",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NH",
            "license": "062161-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "062161-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Baker Goodall III, PH.D.
• Maureen Lynn Gouveia
• Granite Ridge Recovery LLC
• Sherry Grant-Vansteensburg
• Brian Joseph Greene, DPT
• John M Grobman, MD
• Shaun Gross, PTA
• Dawn Guerin, PT
• Guidance Medical Associates, P.C.
• Hahn Health PLLC

• Primary Care Nurse Practitioner in Gilford, NH
• Providers in Gilford, NH by specialty
• Primary Care Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.