Active NPI
Laurie Kelleher, PAC
- Physician Assistant
- Barrington, NH
National Provider Identifier
1871500710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0211
- Practice address
- 426 Calef Hwy
Barrington, NH 03825-7235 - Phone
- (603) 664-9003
- Fax
- (603) 664-7493
- NPI assigned
- Aug 2, 2006
- Last updated
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0211 | NH | Primary |
Addresses
Primary practice location
426 Calef Hwy
Barrington, NH 03825-7235
Mailing address
232 Prescott Road
Epping, NH 03042-1816
Phone (603) 679-1876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241950099 | Medicaid | ME | |
| 30009663 | Medicaid | NH | |
| P00006364 | Other | RAILROAD MEDICARE |
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0211 | NH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exeter Emergency Physicians PA | Past | Accepting new patients | |
| Portsmouth Emergency Physicians PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Exeter, NH
- NPI 1497845101
-
- Emergency Medical Services (Emergency Medicine) Physician
- Portsmouth, NH
- NPI 1710923511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1871500710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 PRESCOTT ROAD",
"city": "EPPING",
"state": "NH",
"postal_code": "030421816",
"telephone_number": "603-679-1876",
"fax_number": "603-679-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 CALEF HWY",
"city": "BARRINGTON",
"state": "NH",
"postal_code": "038257235",
"telephone_number": "603-664-9003",
"fax_number": "603-664-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "LAURIE",
"name_prefix": "Miss",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241950099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009663",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00006364",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Barrington, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.