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 NPI 1619379195
Title
Authorized Official, Owner
Phone
(968) 273-6960

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Gerontology Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2024.

{
    "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

All providers in Merrimack, NH · Gerontology Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.