Individual provider Active NPI

Gina M Puorro, RDN, LD

  • Registered Dietitian
  • Portsmouth, NH
National Provider Identifier
1558749622
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0749 Issued in NH
Practice address
15 Rye St
Ste 305
Portsmouth, NH 03801-6829
Phone
(888) 320-1776
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0749 NH Primary
Registered Dietitian 133V00000X LDN00904 RI
Registered Dietitian 133V00000X 4260 MA

Addresses

Primary practice location

15 Rye St
Ste 305
Portsmouth, NH 03801-6829

Mailing address

15 Rye St
Ste 305
Portsmouth, NH 03801-6846

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
1075WVMDProfessional Counselor
4260MAMDRegistered Dietitian
0749NHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1558749622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "STE 305",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RYE ST",
            "address_2": "STE 305",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038016829",
            "telephone_number": "888-320-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUORRO",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0749",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00904",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.