Nicole Washburn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

069865-23 Issued in NH

Practice address

100 McGregor St
Manchester, NH 03102-3730

Phone

(603) 663-5310

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nw1@peraza.emadirect.md
• Direct secure messaging: npoudrette97050@direct.dartmouth-hitchcock.org

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

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment NPD
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment NPD
• Dartmouth-Hitchcock Clinic

  dba The Doorway at Cheshire Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Keene, NH
  • NPI 1174176861
  NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• Jose E. Peraza

  • Dermatology Physician
  • Claremont, NH
  • NPI 1134396104
  NPD (past)
• St Joseph Hospital of Nashua NH

  • Rehabilitation Hospital Unit
  • Nashua, NH
  • NPI 1669462792
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1609331495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EDGEMONT RD",
            "city": "SUNAPEE",
            "state": "NH",
            "postal_code": "037822519",
            "telephone_number": "860-966-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-5310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Broad St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037432636",
            "country_code": "US",
            "telephone_number": "603-542-6455",
            "fax_number": "603-543-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "F01191890",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "069865-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen P Warecki, APRN
• Danielle Warneau, CNM, WHNP
• Autumn Dawn Warren
• Michael Cully Warren II
• Felicia Marie Warrick, OTR/L
• Gary A Wasserman, M.D.
• Jeanette Wat, MD, MS
• Audrey Anne Watjen, LCSW
• Kathryn Gardella Watkins, MSW
• John Andrew Watson, M.D.

• Family Nurse Practitioner in Manchester, NH
• Providers in Manchester, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.