Tricia Renee Jette-Gonthier, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Nashua, NH
NPI 1649683129 · NPPES record last updated Apr 22, 2016
Key facts
- NPI
- 1649683129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 073308-23 (NH)
- Practice address
- 17 Prospect St
Suite N 203
Nashua, NH 03060-3956 - Phone
- (603) 577-2663
- Fax
- (603) 577-3366
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Appledore Medical Group Inc
Practice addresses (Care Compare)
87 McGregor St
Suite 4100
Manchester, NH 03102-3766
Phone (603) 467-7333
Hospital & facility affiliations
- Catholic Medical Center
- Merrimack Health Lawrence Hospital
- Southern NH Medical Center
- Monadnock Community Hospital
- Northeast Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209001983 | MA | Practitioner - Nurse Practitioner | 4486976016 | |
| I20160609002443 | NH | Practitioner - Nurse Practitioner | 4486976016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261379 | MA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group, Inc | Current |
Accepting new patients | |
| Appledore Medical Group, Inc. | Current |
Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients |
Locations
87 McGregor St
Ste 4100
Manchester, NH 03102
Phone (603) 467-7333
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- tjettegonthier110707@tuftsmedicine.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 073308-23 | NH | Yes |
Addresses
Primary practice location
17 Prospect St
Suite N 203
Nashua, NH 03060-3956
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other providers in Nashua, NH
- Courtney Jenness
- Jennifer Bois PLLC
- Karen Jennings
- Laurene A Jerome-Kent
- Jessica Ekberg OT LLC
- Heather Jewett
- Carmen Jimenez
- Luis R Jimenez
- Meredith Jimeno
- Sophia Jin
All providers in Nashua, NH · Adult Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.