Individual provider Active NPI

Catherine Coolidge, ARNP

  • Nurse Practitioner
  • Somersworth, NH
National Provider Identifier
1821023045
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
039968-23 Issued in NH
Practice address
255 Route 108
Somersworth, NH 03878-1543
Phone
(603) 692-3166
Fax
(833) 944-2258
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 039968-23 NH Primary

Addresses

Primary practice location

255 Route 108
Somersworth, NH 03878-1543

Mailing address

255 Route 108
Somersworth, NH 03878-1543
Phone (603) 692-3166

Other practice location 1

3 Mound Ct
Merrimack, NH 03054-4412
Phone (603) 424-8866

Other practice location 2

2299 Woodbury Ave
Newington, NH 03801-7854
Phone (603) 431-3166

Other identifiers 1

IdentifierTypeStateIssuer
3076160MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.coolidge.2@21697.direct.athenahealth.com

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
I20040811001202 NH Practitioner - Nurse Practitioner 9830161645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Healthcare LLC 72 clinicians

Practice addresses (Care Compare)

22 Tuck Rd
Hampton, NH 03842-1225
Phone (781) 867-2050

298 Exeter Rd
Hampton, NH 03842-1044
Phone (603) 929-6300

Hospital & facility affiliations

  • Caretenders Home health agency, Epping, NH, CCN 307093
  • Interim Healthcare Home health agency, Manchester, NH, CCN 307049
  • Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
039968-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC CurrentSince May 5, 2023 Accepting new patients

Locations

22 Tuck Rd
Hampton, NH 03842
Phone (603) 926-4551

22 Hunt St
Nashua, NH 03060
Phone (603) 889-5450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1821023045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "833-944-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 108",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038781543",
            "telephone_number": "603-692-3166",
            "fax_number": "833-944-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Mound Ct",
            "address_purpose": "LOCATION",
            "city": "Merrimack",
            "state": "NH",
            "postal_code": "030544412",
            "country_code": "US",
            "telephone_number": "603-424-8866",
            "fax_number": "833-944-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017854",
            "country_code": "US",
            "telephone_number": "603-431-3166",
            "fax_number": "833-944-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLIDGE",
        "first_name": "CATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "039968-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076160",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.coolidge.2@21697.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7 Works Way",
            "city": "Somersworth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038781639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.