Individual provider Active NPI

Della B. Flanagan, RDN, CDCES, BC-ADM

  • Registered Dietitian
  • Concord, NH
National Provider Identifier
1487870192
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
132 Issued in NH
Practice address
18 Foundry St
Concord, NH 03301-5421
Phone
(603) 230-5636
Fax
(603) 227-7516
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 132 NH Primary

Addresses

Primary practice location

18 Foundry St
Concord, NH 03301-5421

Mailing address

18 Foundry St
Concord, NH 03301-5421
Phone (603) 230-5636

Other identifiers 1

IdentifierTypeStateIssuer
FLMT0255OtherNHMEDICAL NUTRITION THERAPY

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

LicenseStateTypeSpecialty
132NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1487870192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015421",
            "telephone_number": "603-230-5636",
            "fax_number": "603-227-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FOUNDRY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015421",
            "telephone_number": "603-230-5636",
            "fax_number": "603-227-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "DELLA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "RDN, CDCES, BC-ADM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUTRITION THERAPY",
            "identifier": "FLMT0255",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.