Active NPI
Anita L Nicholson, APRN
- Family Nurse Practitioner
- Portsmouth, NH
National Provider Identifier
1811366602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 054231-23
- Practice address
- 333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128 - Phone
- (603) 559-4111
- Fax
- (603) 559-4110
- NPI assigned
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 054231-23 | NH | Primary |
Addresses
Primary practice location
333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128
Mailing address
333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128
Phone (603) 559-4111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3102254 | Medicaid | NH | |
| 1811366602 | Medicaid | ME |
Other names 1
- Anita L Kelloway
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ANITA.NICHOLSON@hca6.eclinicaldirectplus.com |
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)
- Enrolled
Interoperability endpoints
- anita.nicholson@hca6.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1811366602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"address_2": "MOB 402",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-559-4111",
"fax_number": "603-559-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"address_2": "MOB 402",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-559-4111",
"fax_number": "603-559-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "ANITA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "054231-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3102254",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811366602",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ANITA.NICHOLSON@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "333 Borthwick Ave",
"address_2": "MOB 402",
"city": "Portsmouth",
"state": "NH",
"country_code": "US",
"postal_code": "038017128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANITA",
"last_name": "KELLOWAY",
"middle_name": "L",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.