Active NPI
Catherine Coolidge, ARNP
- Nurse Practitioner
- Somersworth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 039968-23
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3076160 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Interim Healthcare
- Amedisys Home Health
- Elliot Hospital
- Exeter Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039968-23 | NH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Healthcare LLC | Current | 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.
-
- Home Health Agency
- Portsmouth, NH
- NPI 1326230251
-
- Home Health Agency
- Epping, NH
- NPI 1174069496
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1902996028
Hospital
-
- Home Health Agency
- Manchester, NH
- NPI 1164592085
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.