Active NPI
Dominique Olibrice, RD, RDN
- Registered Dietitian
- Manchester, NH
National Provider Identifier
1447115548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86253754
- Practice address
- 15 Cherry Ave
Manchester, NH 03103-5737 - Phone
- (602) 717-7625
- NPI assigned
- Dec 20, 2025
- 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 | 86253754 | Primary |
Addresses
Primary practice location
15 Cherry Ave
Manchester, NH 03103-5737
Mailing address
13668 N 108TH Dr
Sun City, AZ 85351-2668
Phone (602) 717-7625
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766188800000",
"number": "1447115548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13668 N 108TH DR",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512668",
"telephone_number": "602-717-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CHERRY AVE",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035737",
"telephone_number": "602-717-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIBRICE",
"first_name": "DOMINIQUE",
"credential": "RD, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-20",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86253754",
"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 Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.