Organization Active NPI

New Hampshire PHS LLC

  • Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1639471501
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEW HAMPSHIRE PHS LLC
Practice address
1950 Lafayette Rd
Suite 201 Box 1
Portsmouth, NH 03801-8663
Phone
(901) 261-4848
Fax
(901) 261-4867
NPI assigned
Nov 29, 2010
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Mark Smith
Title
Ceo
Phone
(901) 261-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

1950 Lafayette Rd
Suite 201 Box 1
Portsmouth, NH 03801-8663

Mailing address

9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Phone (901) 261-4848

National Provider Directory

National Provider Directory

Locations

1950 Lafayette Rd
Ste 201
Portsmouth, NH 03801
Phone (901) 261-4848

62 Rochester Hill Rd
Rochester, NH 03867
Phone (603) 335-3955

9155 Crestwyn Hills Dr
Memphis, TN 38125
Phone (901) 261-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1639471501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4848",
            "fax_number": "901-261-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAFAYETTE RD",
            "address_2": "SUITE 201 BOX 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018663",
            "telephone_number": "901-261-4848",
            "fax_number": "901-261-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE PHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-261-4848"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 13, 2011; 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.