Active NPI
Benjiman Jakob Petri, MS, RD
- Registered Dietitian
- Concord, NH
National Provider Identifier
1811786288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1852
- Practice address
- 36 Clinton St
Concord, NH 03301-2359 - Phone
- (603) 271-5300
- NPI assigned
- May 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1852 | NH | Primary |
Addresses
Primary practice location
36 Clinton St
Concord, NH 03301-2359
Mailing address
39 Cranleigh Mews
Nashua, NH 03063-1529
Phone (618) 823-2280
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1852 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1811786288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 CRANLEIGH MEWS",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631529",
"telephone_number": "618-823-2280",
"fax_number": "618-823-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRI",
"first_name": "BENJIMAN",
"middle_name": "JAKOB",
"name_prefix": "Mr.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.