Active NPI
Gina M Puorro, RDN, LD
- Registered Dietitian
- Portsmouth, NH
National Provider Identifier
1558749622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0749
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | WV | MD | Professional Counselor |
| 4260 | MA | MD | Registered Dietitian |
| 0749 | NH | MD | Registered 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.