Active NPI
Carrie L Rancourt, RD, LD, CDE
- Registered Dietitian
- Colebrook, NH
National Provider Identifier
1467503599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 142
- Practice address
- 181 Corliss LN
Colebrook, NH 03576-3207 - Phone
- (603) 237-4971
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 142 | NH | Primary |
Addresses
Primary practice location
181 Corliss LN
Colebrook, NH 03576-3207
Mailing address
151 Old Country Rd
Clarksville, NH 03592-7214
Phone (603) 246-3490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30047Y | Other | NH | ANTHEM RAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467503599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 OLD COUNTRY RD",
"city": "CLARKSVILLE",
"state": "NH",
"postal_code": "035927214",
"telephone_number": "603-246-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 CORLISS LN",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763207",
"telephone_number": "603-237-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANCOURT",
"first_name": "CARRIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM RAN",
"identifier": "30047Y",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colebrook, NH
- North Country Medical and Wellness, LLC (Vailas Medical Clinic)
- North Woods Dental, PA
- Crystal Lee Ouimette, BS
- Sheila J. Parkhurst, PHD., LMP
- Eleanor Elizabeth Pearson, RN CDE
- Robert Soucy DO LLC
- Ryan James Rossitto, PHARM. D
- Kristi Ann Samson-Smith, RN
- Irene Grace Simons, LCMHC, LPC, MA
- Stacey Lynne Smith, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.