Organization Active NPI

Granite State Health PLLC

  • Adult Health Nurse Practitioner
  • Dover, NH
National Provider Identifier
1457874232
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
GRANITE STATE HEALTH PLLC
Practice address
1 Academy Street
Dover, NH 03820-3724
Phone
(603) 842-4401
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Authorized official

Name
Lisa Tapp, ANP-BC
Title
Owner
Phone
(603) 491-9667

Specialties & licenses 1

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

Addresses

Primary practice location

1 Academy Street
Dover, NH 03820-3724

Mailing address

PO Box 538
Somersworth, NH 03878-0538
Phone (603) 491-9667

Other identifiers 1

IdentifierTypeStateIssuer
3102550MedicaidNH

National Provider Directory

National Provider Directory

Locations

422 Central Ave
#224
Dover, NH 03820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720310400000",
    "number": "1457874232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038780538",
            "telephone_number": "603-491-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ACADEMY STREET",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203724",
            "telephone_number": "603-842-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-491-9667",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102550",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.