Individual provider Active NPI

Martha J Moorehead, APRN

  • Family Nurse Practitioner
  • Meredith, NH
National Provider Identifier
1679962575
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
057943-23 Issued in NH
Practice address
186 Waukewan St # 6023
Meredith, NH 03253-6023
Phone
(603) 279-6611
NPI assigned
Jan 15, 2015
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 057943-23 NH Primary

Addresses

Primary practice location

186 Waukewan St # 6023
Meredith, NH 03253-6023

Mailing address

8 Oakcrest LN
Gilmanton, NH 03237-4930
Phone (036) 545-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327000818 NH Practitioner - Nurse Practitioner 4486971678 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince May 1, 2021 Accepting new patients
Concord Hospital-Franklin CurrentSince Jan 19, 2015 Accepting new patients
Ephrem Medical Services, LLC CurrentSince Jun 1, 2020 Accepting new patients
Lrghealthcare CurrentSince Jan 19, 2015 Accepting new patients
Lakes Region Visiting Nurse Association CurrentSince Jul 9, 2023 Accepting new patients
Lakes Region Visiting Nurse Association CurrentSince Jul 9, 2023 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

8 Corporate Dr
Belmont, NH 03220
Phone (603) 524-3397

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

724 N Main St
Laconia, NH 03246
Phone (603) 524-5151

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

186 Waukewan St
Meredith, NH 03253
Phone (603) 279-6611

186 Waukewan St
#6023
Meredith, NH 03253
Phone (603) 279-6611

19 Route 104
Meredith, NH 03253
Phone (603) 279-8111

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1679962575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 OAKCREST LN",
            "city": "GILMANTON",
            "state": "NH",
            "postal_code": "032374930",
            "telephone_number": "036-545-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 WAUKEWAN ST # 6023",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032536023",
            "telephone_number": "603-279-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "MARTHA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "057943-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meredith, NH

Sources for this page

Verify at the official NPI Registry.