Change With More Ease LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lebanon, NH
NPI 1831865153 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1831865153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CHANGE WITH MORE EASE LLC
- Practice address
- 20 W Park St Ste 420
Lebanon, NH 03766-1322 - Phone
- (603) 667-6743
- Fax
- (866) 309-2937
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Mary Ford, PMHNP
- Title
- Nurse Practitioner
- Phone
- (603) 667-6743
Practitioners 1
-
Mary Ford, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211005001122 | NH | Part B Supplier - Clinic/Group Practice | 6901204064 |
Receives reassigned benefits from 1 practitioner Practice locations: Lebanon, NH |
National Provider Directory
Locations
20 W Park St
Ste 420
Lebanon, NH 03766
Phone (603) 667-6743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
20 W Park St Ste 420
Lebanon, NH 03766-1322
Mailing address
329 Murray Hill Dr
Montpelier, VT 05602-4216
Phone (603) 667-6743
Other providers in Lebanon, NH
- Claire Marie Chandler
- Sadhanasree Chandramouli
- Bryan Taiming Chang
- Gerard Chang
- Robert Won-Kee Chang
- Serena H Chao
- Lucy F Chapin
- Christopher Chapman
- Daniel S Chapman
- Michael Shane Chapman
All providers in Lebanon, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.