Robert Louis Gaudreau, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0372352303 Issued in NH

Practice address

426 Calef Highway
Route 125
Barrington, NH 03825

Phone

(603) 664-0955

Fax

(603) 664-7493

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portsmouth Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Portsmouth, NH
  • NPI 1710923511
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1508810334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CALEF HIGHWAY",
            "city": "BARRINGTON",
            "state": "NH",
            "postal_code": "03825",
            "telephone_number": "603-664-0955",
            "fax_number": "603-664-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CALEF HIGHWAY",
            "address_2": "ROUTE 125",
            "city": "BARRINGTON",
            "state": "NH",
            "postal_code": "03825",
            "telephone_number": "603-664-0955",
            "fax_number": "603-664-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDREAU",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0372352303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340826",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301000099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500012710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388530",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "4004043Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra L Dodge, LCMHC
• Suzanne Downs, RPH
• Madelaine Duda, MS CCC-SLP
• Melissa Fleming, OTR/L
• Lindsay M Fortin, P.T
• Granite Dental Group of Barrington PLLC
• Growing Together Pediatric Occupational Theapy, LLC
• Tyler Joseph Guilmette, MSN, MBA
• Asteghik Hacobian, MD
• Lyndsay Hagen, BS

• Nurse Practitioner in Barrington, NH
• Providers in Barrington, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.