Tina Labarre Nutrition LLC
Organization Active NPI Registered Dietitian · Newington, NH
NPI 1962220855 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1962220855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- TINA LABARRE NUTRITION LLC
- Practice address
- 2299 Woodbury Ave Ste 5
Newington, NH 03801-7854 - Phone
- (603) 681-6388
- NPI assigned
- Sep 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Tina Faith Labarre, MS RD LDN
- Title
- Registered Dietitian
- Phone
- (802) 324-2224
Practitioners 1
-
Tina Faith Labarre, MS RD LDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241101001169 | NH | Part B Supplier - Clinic/Group Practice | 8325571045 |
Receives reassigned benefits from 1 practitioner Practice locations: Dover, NH |
National Provider Directory
Locations
2299 Woodbury Ave
Ste 5
Newington, NH 03801
Phone (603) 431-5563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
2299 Woodbury Ave Ste 5
Newington, NH 03801-7854
Mailing address
95 County Farm Cross Rd
Dover, NH 03820-6007
Phone (802) 324-2224
Other practice location 1
95 County Farm Cross Rd
Dover, NH 03820-6007
Phone (802) 324-2224
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.