Diabetes Healthcare of NH

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

041658 Issued in NH

Legal business name

DIABETES HEALTHCARE OF NH

Practice address

63 Lisa Dr
Goffstown, NH 03045-2833

Phone

(603) 660-6780

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James Merville Harris Jr., ARNP

Title

Director

Phone

(603) 660-6780

Specialties & licenses 1

Addresses

Tax ID family

Diabetes Healthcare of NH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diabetes Healthcare of NH, LLC

  • Adult Health Nurse Practitioner
  • Bedford, NH
  • NPI 1336323229
  NPD tax ID

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1942443387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LISA DR",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452833",
            "telephone_number": "603-660-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LISA DR",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030452833",
            "telephone_number": "603-660-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES HEALTHCARE OF NH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MERVILLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-660-6780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NH",
            "license": "041658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason James Cole, DPT
• Mark L. Collins, P.T.
• County of Hillsborough
• Morgan Crooker, MA CCC-SLP
• Stephanie M. Degroat, D.C.
• Diana Lynn Dion, APRN
• Jolene Prowse Driscoll, MA CCC/SLP
• Elliot Physicians Network
• Faithful Group Home, LLC
• Cheryl Feeney, LMT

• Clinic/Center in Goffstown, NH
• Providers in Goffstown, NH by specialty
• Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.