Individual provider Active NPI

Thandiwe Dhliwayo

  • Nurse Practitioner
  • Epping, NH
National Provider Identifier
1821571886
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
069915-23 Issued in NH
Practice address
31 Fresh River Rd
Epping, NH 03042-2222
Phone
(603) 842-7760
Fax
(844) 222-8864
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 069915-21 NH
Nurse Practitioner 363L00000X 069915-23 NH Primary

Addresses

Primary practice location

31 Fresh River Rd
Epping, NH 03042-2222

Mailing address

31 Fresh River Rd
Epping, NH 03042-2222
Phone (603) 842-7760

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
I20181205000533 NH Practitioner - Nurse Practitioner 5597009357 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069915-21NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Nov 11, 2020 Accepting new patients
Thandiwe Dhliwayo FNP LLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Oct 30, 2018 Accepting new patients
Catholic Medical Center Current Accepting new patients
Catholic Medical Center CurrentSince Oct 30, 2018 Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

5 Washington Pl
Bedford, NH 03110
Phone (603) 314-4567

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

195 McGregor St
Ste 310
Manchester, NH 03102

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1821571886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FRESH RIVER RD",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422222",
            "telephone_number": "603-842-7760",
            "fax_number": "844-222-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FRESH RIVER RD",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422222",
            "telephone_number": "603-842-7760",
            "fax_number": "844-222-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHLIWAYO",
        "first_name": "THANDIWE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "069915-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "069915-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Epping, NH

Sources for this page

Verify at the official NPI Registry.