Organization Active NPI

Nightwater Health, Inc

  • Health Service Clinic/Center
  • Exeter, NH
National Provider Identifier
1811650450
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NIGHTWATER HEALTH, INC
Practice address
111 Water St Ste 3
Exeter, NH 03833-2456
Phone
(603) 247-5442
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Dr. Paul Ikemire, MD
Title
Ceo
Phone
(603) 247-5442

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Ambulatory Surgical Clinic/Center 261QA1903X NU
Health Service Clinic/Center 261QH0100X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

111 Water St Ste 3
Exeter, NH 03833-2456

Mailing address

111 Water St Ste 4
Exeter, NH 03833-2456
Phone (603) 247-5442

Other practice location 1

2701 General Degaulle Dr
New Orleans, LA 70114-6222
Phone (504) 372-2948

Other practice location 2

719 OKeefe Ave
New Orleans, LA 70113-1906
Phone (504) 381-4204

National Provider Directory

National Provider Directory

Locations

111 Water St
Ste 3
Exeter, NH 03833
Phone (603) 247-5442

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1811650450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 4",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 3",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "603-247-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 General Degaulle Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701146222",
            "country_code": "US",
            "telephone_number": "504-372-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 OKeefe Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701131906",
            "country_code": "US",
            "telephone_number": "504-381-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIGHTWATER HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "IKEMIRE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-247-5442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.