Joyfully Holistic
Organization Active NPI Gerontology Nurse Practitioner · Merrimack, NH
NPI 1861216699 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1861216699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- Legal business name
- JOYFULLY HOLISTIC
- Practice address
- 52 Hansom Dr
Merrimack, NH 03054-4588 - Phone
- (968) 273-6960
- NPI assigned
- Nov 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Joyce Allen, NP
- Title
- Authorized Official, Owner
- Phone
- (968) 273-6960
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250114003036 | NH | Part B Supplier - Clinic/Group Practice | 4486182755 |
Receives reassigned benefits from 1 practitioner Practice locations: Merrimack, NH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | Yes |
Addresses
Primary practice location
52 Hansom Dr
Merrimack, NH 03054-4588
Mailing address
52 Hansom Dr
Merrimack, NH 03054-4588
Phone (968) 273-6960
NPI Registry JSON
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1861216699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HANSOM DR",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544588",
"telephone_number": "968-273-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 HANSOM DR",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544588",
"telephone_number": "968-273-6960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYFULLY HOLISTIC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL, OWNER",
"authorized_official_telephone_number": "968-273-6960",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrimack, NH
- John Todd Jackson
- Ewa Joanna Jankowska
- Sierra Renee Jewett
- Aiko Jones
- Kathryn E Jones
- Kristen Nicole Kenny
- George H Kenson
- Nicola Kernan
- King Recovery Medicine, PLLC
- Marsha Saad Kofman
All providers in Merrimack, NH · Gerontology 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 Nov 8, 2024. 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.