Individual provider Active NPI

Annemarie Pease, R.D, L.D.N

  • Registered Dietitian
  • Windham, NH
National Provider Identifier
1841440807
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000002780 Issued in MA
Practice address
87 Indian Rock Rd
Windham, NH 03087-1656
Phone
(978) 225-0995
NPI assigned
Sep 26, 2008
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000002780 MA Primary
Registered Dietitian 133V00000X 0679 NH

Addresses

Primary practice location

87 Indian Rock Rd
Windham, NH 03087-1656

Mailing address

55A Lund Dr
55A Lund Drive
Hudson, NH 03051-3924
Phone (978) 835-4496

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000002780MAMDRegistered Dietitian
0679NHMDOccupational Therapist
2780MAMDLong Term Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1841440807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55A LUND DR",
            "address_2": "55A LUND DRIVE",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513924",
            "telephone_number": "978-835-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 INDIAN ROCK RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871656",
            "telephone_number": "978-225-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "ANNEMARIE",
        "credential": "R.D, L.D.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "000002780",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.