Individual provider Active NPI

Shelby Guptill

  • Registered Dietitian
  • Dover, NH
National Provider Identifier
1467986588
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0894 Issued in NH
Practice address
660 Central Ave
Suite 201a
Dover, NH 03820-3491
Phone
(603) 440-5010
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0894 NH Primary

Addresses

Primary practice location

660 Central Ave
Suite 201a
Dover, NH 03820-3491

Mailing address

432 Spruce St
Unit 2
Rollinsford, NH 03869-5634
Phone (603) 440-5010

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

State licenses

LicenseStateTypeSpecialty
0894NHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1467986588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SPRUCE ST",
            "address_2": "UNIT 2",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "038695634",
            "telephone_number": "603-440-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CENTRAL AVE",
            "address_2": "SUITE 201A",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203491",
            "telephone_number": "603-440-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTILL",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0894",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2017; 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.