APPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER
NPI 1013227594
Dietitian, Registered in Portsmouth, NH

Active since October 18, 2010CLIA 30D0999732 · Waiver
155 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 433-5160 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Appledore Medical Group-diabetes Resource Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER (NPI 1013227594) is a healthcare organization registered as a dietitian, registered in Portsmouth, New Hampshire and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Tedrick Johnson, Vp, Hca Physician Services, as its authorized official.

NPPES Registry Identity

NPI1013227594
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameAPPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER
Location Address155 BORTHWICK AVEPortsmouth, NH 03801-7156
Mailing Address155 Borthwick AvePortsmouth, NH 03801-7156 · (603) 433-5160
Organization SubpartNo
Authorized OfficialTedrick JohnsonVp, Hca Physician Services · (807) 237-7760
Enumeration DateOctober 18, 2010
NPI 1013227594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in NH · 314
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
155 BORTHWICK AVE, Portsmouth, NH 03801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D0999732

Appledore Medical Group Dba Beacon Internal Medicine · Portsmouth, NH
Active · expires Jul 29, 2027
CLIA Number30D0999732
Laboratory TypeHospice
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorDaniel Davies
Laboratory Phone(603) 436-6638
Laboratory LocationAppledore Medical Group Dba Beacon Internal Medicine155 Borthwick Ave Suite 202 West Building, Portsmouth, NH 03801
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
155 BORTHWICK AVE, SUITE 202W
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE, WEST #102
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Optometrist
155 BORTHWICK AVE, SUITE 200 EAST
PORTSMOUTH, NH 03801
Dermatology (Dermatopathology)
155 BORTHWICK AVE, SUITE 201 WEST
PORTSMOUTH, NH 03801
Optometrist
155 BORTHWICK AVE
PORTSMOUTH, NH 03801
Naturopath
155 BORTHWICK AVE, WEST SUITE 102
PORTSMOUTH, NH 03801
Ophthalmology
155 BORTHWICK AVE, SUITE 200 EAST
PORTSMOUTH, NH 03801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appledore Medical Group-Diabetes Resource Center's NPI number?

The NPI number for Appledore Medical Group-Diabetes Resource Center is 1013227594. It was assigned to this organization in the NPPES registry on October 18, 2010.

Where is Appledore Medical Group-Diabetes Resource Center located?

Appledore Medical Group-Diabetes Resource Center is located at 155 Borthwick Ave, Portsmouth, NH 03801. The listed phone number is (603) 433-5160.

What is Appledore Medical Group-Diabetes Resource Center's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Does Appledore Medical Group-Diabetes Resource Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D0999732) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Appledore Medical Group-Diabetes Resource Center was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.