WENTWORTH DOUGLASS HOSPITAL (NPI# 1407385198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407385198 |
| Entity Type | Organization |
| Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Other Organization Name | DIABETES SERVICES |
| Practice Address |
15 Old Rollinsford Rd Ste 105 Dover NH 03820-2870 |
| Mailing Address |
Po Box 412540 Boston MA 02241-2540 |
| Practice Telephone | 6037425252 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TRISHA GAGNON (DIRECTOR OF REVENUE CYCLE OPERATION) |
| Authorized Official Telephone | 6037403205 |
| Is Organization Subpart | Y |
| Parent Organization Name | WENTWORTH DOUGLASS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3074430 | 05 |
| Other Name | Type Code |
|---|---|
| Diabetes Services | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 789 Central Ave, Dover, NH 038202526 | 6037425252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522994 | Wentworth Douglass Hospital | Clinic/Center | 200 Route 108 Ste 3, Somersworth, NH 03878-1119 | 2020-09-09 |
| 1477038461 | Wentworth Douglass Hospital | Clinic/Center | 121 Corporate Dr Bldg A, Portsmouth, NH 03801-6895 | 2018-09-26 |
| 1366929440 | Wentworth Douglass Hospital | Clinic/Center | 701b Central Ave, Dover, NH 03820-3403 | 2018-07-23 |
| 1558857615 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2018-07-02 |
| 1033118104 | Wentworth Douglass Hospital | Clinic/Center | 789 Central Avenue, Dover, NH 03820 | 2005-07-20 |
| 1528687829 | Wentworth Douglass Hospital | General Acute Care Hospital | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2020-04-16 |
| 1578118386 | Wentworth Douglass Hospital | Clinic/Center | 67 Corporate Dr Bldg A, Portsmouth, NH 03801-2847 | 2019-08-08 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1043669195 | Wentworth Douglass Hospital | Durable Medical Equipment & Medical Supplies | 789 Central Ave, Dover, NH 03820 | 2016-06-09 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| Street Address |
15 OLD ROLLINSFORD RD STE 105 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| 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 |
|---|---|---|---|---|
| 1801404512 | Caroline Hutchins Egener | Dietitian, Registered | 49 Pine St, Dover, MA 02030-2427 | 2020-07-20 |
| 1699309062 | Tina Faith Labarre | Dietitian, Registered | 95 County Farm Cross Rd, Dover, NH 03820-6007 | 2020-02-25 |
| 1548726417 | Tracy Ellen Fennemore | Dietitian, Registered | 399 Scarlet Cir, Dover, DE 19904-5658 | 2019-02-15 |
| 1639652795 | Megan Martin | Dietitian, Registered | 3301 N Wooster Ave, Dover, OH 44622-9400 | 2018-09-13 |
| 1336685866 | Allison Porter | Dietitian, Registered | 1225 E 2nd St, Dover, OH 44622-1268 | 2017-01-08 |
| 1437512720 | Courtney Bellino | Dietitian, Registered | 1 Washington St Ste 3121, Dover, NH 03820-2233 | 2016-04-04 |
| 1215395199 | Kara Pavlidis | Dietitian, Registered | 42 Dover Point Rd Unit K, Dover, NH 03820-4668 | 2016-02-05 |
| 1306231220 | Sarah Marie Carlson | Dietitian, Registered | 523 Ricksecker St, Dover, OH 44622-9476 | 2015-03-30 |
| 1316230410 | Roger Elroy Warn | Dietitian, Registered | 18 Reservoir Ave, Dover, NJ 07801-4819 | 2011-05-23 |
| 1558550962 | Jennifer D Ganly | Dietitian, Registered | 652f Central Ave # F, Dover, NH 03820-3414 | 2007-10-22 |
| Find all providers in DOVER | ||||
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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.