Palliativity Medical Group LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PALLIATIVITY MEDICAL GROUP LLC

Practice address

116 S River Rd
Unit D2
Bedford, NH 03110-6734

Phone

(603) 785-8406

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Lisa Withrow, APRN, FNP-C, ACHPNNPI 1144453135

Title

Owner

Phone

(603) 785-8406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

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.

• Lisa Christine Withrow, APRN, NP-C

  • Family Nurse Practitioner
  • Bedford, NH
  • NPI 1144453135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1669878179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WESTWOOD DR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031036122",
            "telephone_number": "603-785-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S RIVER RD",
            "address_2": "UNIT D2",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106734",
            "telephone_number": "603-785-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVITY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "WITHROW",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-785-8406",
        "authorized_official_credential": "APRN, FNP-C, ACHPN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pelli Packard, M.D.
• Elizabeth Anne Padgett Weld
• Kellsie Augusta Page
• Lisa C Page, ARNP
• Pain Solutions PLLC
• Carl Travis Palmer, PA
• Andrea Palumbo, MD
• Patricia A Pappal, ARNP
• Kathleen Erin Paquette, PTA
• Ellen Paquin, MD

• Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.