Granite Pride New Hampshire, PLLC

Key facts

NPI

1497630446

Entity type

Organization (NPI type 2)

Primary specialty

Medical Specialty Clinic/Center 261QM2500X

Legal business name

GRANITE PRIDE NEW HAMPSHIRE, PLLC

Practice address

5 Warren St Ste 3
Concord, NH 03301-4030

Phone

(603) 227-6047

NPI assigned

Aug 8, 2025

Organization subpart

No

Authorized official

Name

Jessica Smith, APRN NPI 1093072415

Title

Aprn, FNP-C/ Owner

Phone

(603) 227-6047

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Jessica A Smith, APRN, NP-C Family Nurse Practitioner · Manchester, NH · NPI 1093072415
  NPD Authorized official FAMILY

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Granite Pride New Hampshire Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2025.

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1497630446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE 3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WARREN ST STE 3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014030",
            "telephone_number": "603-227-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE PRIDE NEW HAMPSHIRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "APRN, FNP-C/ OWNER",
        "authorized_official_telephone_number": "603-227-6047",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite Pride New Hampshire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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