Individual provider Active NPI

Catherine Fogg, APRN, PHD

  • Family Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1437319233
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022298-23 Issued in NH
Practice address
199 Manchester St
Manchester, NH 03103-5232
Phone
(603) 663-8718
Fax
(603) 314-4554
NPI assigned
Jun 15, 2008
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022298-23 NH Primary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 022298-23 NH

Addresses

Primary practice location

199 Manchester St
Manchester, NH 03103-5232

Mailing address

195 McGregor St
Suite LL22
Manchester, NH 03102-3748
Phone (603) 663-8701

Other identifiers 1

IdentifierTypeStateIssuer
3088212MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090507000514 NH Practitioner - Nurse Practitioner 1557419264 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince May 21, 2016 Accepting new patients
Catholic Healthcare Trust CurrentSince Jun 24, 2018 Accepting new patients
Catholic Medical Center Current Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

5 Washington Pl
Ste 1B
Bedford, NH 03110
Phone (603) 314-4567

195 McGregor St
Ste 310
Manchester, NH 03102

195 McGregor St
Ste LL22
Manchester, NH 03102

199 Manchester St
Manchester, NH 03103
Phone (603) 641-9441

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

Interoperability endpoints

  • Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1437319233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MCGREGOR ST",
            "address_2": "SUITE LL22",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023748",
            "telephone_number": "603-663-8701",
            "fax_number": "603-663-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MANCHESTER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035232",
            "telephone_number": "603-663-8718",
            "fax_number": "603-314-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "CATHERINE",
        "credential": "APRN, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "022298-23",
            "primary": true
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "NH",
            "license": "022298-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088212",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "199 Manchester St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031035232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.