Active NPI
Rima Itani Al-Nimr, RD/RDN, LD
- Registered Dietitian
- Lebanon, NH
National Provider Identifier
1659745586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0761
- Practice address
- 367 State Route 120
Suite B-8
Lebanon, NH 03766-1430 - Phone
- (603) 643-7677
- Fax
- (603) 643-3633
- NPI assigned
- Nov 16, 2015
- Last updated
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0761 | NH | Primary |
Addresses
Primary practice location
367 State Route 120
Suite B-8
Lebanon, NH 03766-1430
Mailing address
5 Spencer Rd
Hanover, NH 03755-2305
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0761 | NH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan R. Tucker, MD,P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1659745586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SPENCER RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 STATE ROUTE 120",
"address_2": "SUITE B-8",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-7677",
"fax_number": "603-643-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-NIMR",
"first_name": "RIMA",
"middle_name": "ITANI",
"credential": "RD/RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.