Organization Active NPI

Our Clinic

  • Primary Care Nurse Practitioner
  • Keene, NH
National Provider Identifier
1922778786
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
OUR CLINIC
Practice address
67 Winter St
Keene, NH 03431-3324
Phone
(802) 490-3680
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Jessica Reeves, APRNNPI 1104339829
Title
Owner / Nurse Practitioner
Phone
(802) 490-3680

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

67 Winter St
Keene, NH 03431-3324

Mailing address

67 Winter St
Keene, NH 03431-3324
Phone (802) 490-3680

National Provider Directory

National Provider Directory

Locations

67 Winter St
Keene, NH 03431
Phone (802) 490-3680

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1922778786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WINTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313324",
            "telephone_number": "802-490-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WINTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313324",
            "telephone_number": "802-490-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "802-490-3680",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.