Active NPI
Robert Edward Dillon Jr., MS, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Hampton, NH
National Provider Identifier
1699709097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 046771-23
- Practice address
- 428 Lafayette Rd Apt 101
Hampton, NH 03842-2268 - Phone
- (603) 395-1724
- Fax
- (888) 979-8717
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 046771-23 | NH | Primary |
| Family Nurse Practitioner | 363LF0000X | 046771-23 | NH | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 046771-23 | NH | |
| Pain Management Registered Nurse | 163WP0000X | 046771-23 | NH |
Addresses
Primary practice location
428 Lafayette Rd Apt 101
Hampton, NH 03842-2268
Mailing address
428 Lafayette Rd Apt 101
PO Box 171
Hampton, NH 03842-2268
Phone (603) 395-1724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30344609 | Medicaid | NH |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1699709097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 LAFAYETTE RD APT 101",
"address_2": "PO BOX 171",
"city": "HAMPTON",
"state": "NH",
"postal_code": "038422268",
"telephone_number": "603-395-1724",
"fax_number": "888-979-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 LAFAYETTE RD APT 101",
"city": "HAMPTON",
"state": "NH",
"postal_code": "038422268",
"telephone_number": "603-395-1724",
"fax_number": "888-979-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NH",
"license": "046771-23",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "046771-23",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "046771-23",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "NH",
"license": "046771-23",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30344609",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.