Active NPI
Donna Mohan, ARNP
- Nurse Practitioner
- Portsmouth, NH
National Provider Identifier
1902902075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 039386-23-03
- Practice address
- 170 Commerce Way Ste 103
Portsmouth, NH 03801-3272 - Phone
- (603) 897-5485
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 039386-23-03 | NH | Primary |
Addresses
Primary practice location
170 Commerce Way Ste 103
Portsmouth, NH 03801-3272
Mailing address
480 Mont Vernon Rd.
New Boston, NH 03070
Phone (603) 897-5485
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0841 | Other | MEDICARE PTAN | |
| 30009982 | Medicaid | NH |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1902902075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MONT VERNON RD.",
"city": "NEW BOSTON",
"state": "NH",
"postal_code": "03070",
"telephone_number": "603-897-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 COMMERCE WAY STE 103",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038013272",
"telephone_number": "603-897-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "DONNA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "039386-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NP0841",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009982",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.