Diabetes And Lifestyle Management, LLC
Nurse Practitioner, Family in Derry, New Hampshire
1649649021- Practice location
- 15 Tsienneto RD Ste 200, Derry, NH 03038-1557
- Phone
- 603-552-3309
- Fax
- 603-965-4177
- Last updated
- September 22, 2026
Diabetes And Lifestyle Management, LLC is a healthcare organization based in Derry, NH. Diabetes And Lifestyle Management, LLC practices in Derry, NH. The NPI Number for Diabetes And Lifestyle Management, LLC is 1649649021 and holds a License No. 041658-23 (NH). The current practice location address for Diabetes And Lifestyle Management, LLC is 15 Tsienneto RD Ste 200, Derry, NH 03038-1557 and can be reached out via phone at 603-552-3309 and via fax at 603-965-4177.
Provider Profile Details
- NPI Number
- 1649649021
- Provider Name
- Diabetes And Lifestyle Management, LLC
- Provider Entity Type
- Organization
- Address
- 15 Tsienneto RD Ste 200, Derry, NH 03038-1557
- Phone Number
- 603-552-3309
- Fax Number
- 603-965-4177
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Stephanie Leigh Harris, RN, BSN, BSBA · Practice Manager · 603-660-4833
- Provider Enumeration Date
- September 16, 2015
- Last Update Date
- September 22, 2026
- Certification Date
- September 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Tsienneto RD Ste 200
Derry, NH 03038-1557 - City
- Derry
- State
- New Hampshire
- Zip
- 03038-1557
- Phone Number
- 603-552-3309
- Fax Number
- 603-965-4177
Provider Business Mailing Address Details
- Address
- 15 Tsienneto RD Ste 200
Derry, NH 03038-1559 - City
- Derry
- State
- NH
- Zip
- 03038-1559
- Phone Number
- 603-552-3309
- Fax Number
- 603-965-4177
License Information
- Taxonomy (1)
- Clinic/Center, Primary Care · 261QP2300X
- License Number (2)
- 041658-23
- License State (2)
- NH
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Derry, NH
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Frequently Asked Questions
What is the NPI number of Diabetes And Lifestyle Management, LLC?
The NPI number of Diabetes And Lifestyle Management, LLC is 1649649021. It was assigned on September 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Diabetes And Lifestyle Management, LLC?
Diabetes And Lifestyle Management, LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 041658-23.
Where does Diabetes And Lifestyle Management, LLC practice?
The practice location is 15 Tsienneto RD Ste 200, Derry, NH 03038-1557. The office can be reached at 603-552-3309 (phone) or 603-965-4177 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649649021 directly on the NPPES registry website.