MARY LYNN FAHEY (NPI# 1750386389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750386389 |
| Entity Type | Individual |
| Full Name | MARY LYNN FAHEY |
| Credential | ARNP |
| Practice Address |
100 Shattuck Way Ste 100 Newington NH 03801-8007 |
| Practice Telephone | 6034316677 |
| Practice Fax Number | 6036102232 |
| Mailing Telephone | 6034316677 |
| Mailing Fax Number | 6036102232 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
027443-23-03 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
027443-23-03 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30008013 | 05 | |
| NH | ANTHEM BCBS | 2305915YPNH01 | 01 |
| NH | CIGNA | 7576040-004 | 01 |
| NH | CIGNA | 213938 | 01 |
| Street Address |
100 SHATTUCK WAY STE 100 |
| City | NEWINGTON |
| State | NH |
| Zip Code | 03801-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881173847 | Travis Palmer | Nurse Practitioner | 100 Shattuck Way, Newington, NH 03801-8004 | 2018-08-10 |
| 1770060006 | Soul's Nest Counseling & Wellness, LLC | Clinic/Center | 100 Shattuck Way, Newington, NH 03801-8004 | 2018-07-19 |
| 1972050359 | Carli Genet | Counselor | 100 Shattuck Way, Newington, NH 03801 | 2016-09-02 |
| 1730529678 | Naturae LLC | Homeopath | 100 Shattuck Way, Newington, NH 03801-8004 | 2013-06-25 |
| 1760736060 | Satnarayan Singh Khalsa | Chiropractor | 100 Shattuck Way, Newington, NH 03801-8004 | 2012-11-08 |
| 1487946257 | The Touch of Sunshine, LLC | Physical Therapist | 100 Shattuck Way, Newington, NH 03801-8004 | 2011-05-11 |
| 1588892657 | Andrea Moreno Rutherford | Interpreter | 100 Shattuck Way, Suite 205, Newington, NH 03801-8004 | 2009-06-29 |
| 1477706661 | Nicole T Schertell | Naturopath | 100 Shattuck Way, Newington, NH 03801-8004 | 2008-10-31 |
| 1154522332 | Anna O Swan | Nurse Practitioner | 100 Shattuck Way, Suite 100, Newington, NH 03801-8004 | 2007-05-29 |
| 1770646614 | Whole Life Health Care, Pa | Nurse Practitioner | 100 Shattuck Way, Suite 100, Newington, NH 03801-8004 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1154776474 | Olivia Zygart | Nurse Practitioner | 77 Webster Ct, Newington, CT 06111-5122 | 2016-04-25 |
| 1295077931 | Prekshaben Patel | Nurse Practitioner | 2335 Berlin Tpke, Newington, CT 06111-3206 | 2013-03-20 |
| 1891262838 | Adeleye Ogunlade | Nurse Practitioner | 196 Kitts Ln, Newington, CT 06111-4250 | 2018-10-29 |
| 1881173847 | Travis Palmer | Nurse Practitioner | 100 Shattuck Way, Newington, NH 03801-8004 | 2018-08-10 |
| 1558873984 | Emily Marton Wiezalis | Nurse Practitioner | 2288 Berlin Turnpike, 2288 Berlin Turnpike, Newington, CT 06111 | 2017-10-25 |
| 1093252462 | Jennifer Silva | Nurse Practitioner | 196 Kitts Ln, Newington, CT 06111-4250 | 2017-01-24 |
| 1679021273 | Andrea Dufour | Nurse Practitioner | 375 Willard Ave, Newington, CT 06111-2300 | 2016-09-13 |
| 1881096220 | Linda Spadaccini | Nurse Practitioner | 365 Willard Ave, Ste 2d, Newington, CT 06111-2316 | 2014-09-17 |
| Find all providers in NEWINGTON | ||||
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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.