Organization Active NPI

Advanced Nurse Practitioner Services, LLC

  • Family Nurse Practitioner
  • Northwood, NH
National Provider Identifier
1629390935
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
04081123 Issued in NH
Legal business name
ADVANCED NURSE PRACTITIONER SERVICES, LLC
Practice address
103 First NH Tpke
Northwood, NH 03261-3503
Phone
(603) 942-5694
Fax
(603) 942-8194
NPI assigned
Feb 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Suellen Drake, APRNNPI 1568513976
Title
Owner
Phone
(603) 942-5694

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 05729323 NH
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 04081123 NH Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 04081123 NH

Addresses

Primary practice location

103 First NH Tpke
Northwood, NH 03261-3503

Mailing address

PO Box 194
W Nottingham, NH 03291-0194
Phone (603) 942-5694

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1629390935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "W NOTTINGHAM",
            "state": "NH",
            "postal_code": "032910194",
            "telephone_number": "603-942-5694",
            "fax_number": "603-942-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FIRST NH TPKE",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613503",
            "telephone_number": "603-942-5694",
            "fax_number": "603-942-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-942-5694",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "05729323",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "04081123",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "04081123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.