KORISSA BAILEY (NPI# 1316405459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316405459 |
| Entity Type | Individual |
| Full Name | KORISSA BAILEY |
| Practice Address |
80 Highland St Laconia NH 03246-3235 |
| Mailing Address |
7 Harmony Rd Deerfield NH 03037-1627 |
| Practice Telephone | 6035273211 |
| Mailing Telephone | 6038091340 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
80 HIGHLAND ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609875368 | Eric T Meyer | Anesthesiology | 80 Highland St, Laconia, NH 03246-3235 | 2005-07-15 |
| 1568007763 | Philip Andrew Woodbury Iv | Physical Therapy Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2019-11-12 |
| 1023659273 | Cassiah Zimra Sahl | Speech-Language Pathologist | 80 Highland St, Laconia, NH 03246-3235 | 2019-09-30 |
| 1477028710 | Anne Morrissette | Physical Medicine & Rehabilitation | 80 Highland St, Laconia, NH 03246-3235 | 2018-10-12 |
| 1861919318 | Samantha Downes | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2017-08-25 |
| 1568984821 | Bipin Belbase | Internal Medicine | 80 Highland St, Laconia, NH 03246-3235 | 2017-07-08 |
| 1326583121 | Robin Flynn | Counselor | 80 Highland St, Laconia, NH 03246-3235 | 2017-01-03 |
| 1083158455 | Michael R Chicoine | Physician Assistant | 80 Highland St, Laconia, NH 03246-3235 | 2016-12-05 |
| 1902255938 | Joyce S Sylvester | Occupational Therapist | 80 Highland St, Laconia, NH 03246-3235 | 2016-06-09 |
| 1205285541 | Russell Kemp | Physical Therapist | 80 Highland St, Laconia, NH 03246-3235 | 2016-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790144640 | Laurie Terwilliger | Dietitian, Registered | 22 Strafford St Ste 1, Laconia, NH 03246-4702 | 2016-02-21 |
| 1194364257 | Christine Rueffert | Dietitian, Registered | 15 Brook St, Laconia, NH 03246-3201 | 2020-01-06 |
| 1104371475 | Rosanna Alvarez | Dietitian, Registered | 806 N Main St, Laconia, NH 03246-2603 | 2016-08-16 |
| 1063826444 | Food Coach, LLC | Dietitian, Registered | 501 Union Ave, Suite 3, Laconia, NH 03246 | 2014-06-13 |
| 1093067977 | Kathleen P Hayward | Dietitian, Registered | 80 Highland St, Laconia, NH 03246-3235 | 2012-10-03 |
| 1104173327 | Marcie Grimard | Dietitian, Registered | 575 Main Street, Laconia, NH 03246 | 2012-08-07 |
| 1538135652 | Susan A Richardson | Dietitian, Registered | 80 Highland St, Laconia, NH 03246-3235 | 2006-02-28 |
| 1073589198 | Carole A Lines | Dietitian, Registered | 80 Highland St, Laconia, NH 03246-3235 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564061 | Nutritious Transitions LLC | Dietitian, Registered | 5 Gould Rd, Warner, NH 03278-4306 | 2020-10-07 |
| 1982218335 | Jennifer Messer | Dietitian, Registered | 41 Old Ashby Rd, Mason, NH 03048-4603 | 2020-09-02 |
| 1437760923 | Jessica Jean Long | Dietitian, Registered | 27 Epping Rd, Exeter, NH 03833-1518 | 2020-08-10 |
| 1144845967 | Charlotte Walker | Dietitian, Registered | 35 Cedar Point Rd, Durham, NH 03824-3306 | 2020-06-09 |
| 1275154049 | Sarah Teresa Chau | Dietitian, Registered | 4 Camelot Rd, Windham, NH 03087-1632 | 2020-05-02 |
| 1740818632 | Shira Evans | Dietitian, Registered | 28 Hough St, Lebanon, NH 03766-1246 | 2020-03-28 |
| 1952938128 | Rhythm Nutrition, LLC | Dietitian, Registered | 38 Hawthorne Dr Unit G205, Bedford, NH 03110-7016 | 2020-03-26 |
| 1699309062 | Tina Faith Labarre | Dietitian, Registered | 95 County Farm Cross Rd, Dover, NH 03820-6007 | 2020-02-25 |
| 1588296974 | Eileen A Pierro | Dietitian, Registered | 109 Drinkwater Rd, Hampton Falls, NH 03844 | 2020-02-04 |
| 1700424504 | Jacqueline Avants | Dietitian, Registered | 38 Portsmouth Ave, Exeter, NH 03833-2106 | 2019-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.