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EXECUTIVE HEALTH & SPORTS CENTER
NPI 1881080935
Dietitian, Registered in Manchester, NH

Active since April 15, 2015CLIA 30D2138566 · Waiver
1 HIGHLANDER WAY, MANCHESTER, NH 03103(603) 624-9300(603) 641-6314 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Executive Health & Sports Center NPPES

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

EXECUTIVE HEALTH & SPORTS CENTER (NPI 1881080935) is a healthcare organization registered as a dietitian, registered in Manchester, New Hampshire and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Michael S Benton, Owner, as its authorized official.

NPPES Registry Identity

NPI1881080935
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameOASIS HEALTH & SPORTS CENTER INC
Location Address1 HIGHLANDER WAYManchester, NH 03103-7403
Mailing Address1 Highlander WayManchester, NH 03103-7403 · (603) 624-9300 · Fax (603) 641-6314
Phone(603) 624-9300
Fax(603) 641-6314
Organization SubpartNo
Authorized OfficialMichael S BentonOwner · (603) 624-9300
Enumeration DateApril 15, 2015
✔ NPI 1881080935 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 · 0706
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.
1 HIGHLANDER WAY, Manchester, NH 03103
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Other Names 1

Doing Business AsExecutive Health & Sports Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 30D2138566

Executive Health And Sports Center · Manchester, NH
Active · expires Oct 19, 2027
CLIA Number30D2138566
Laboratory TypeHealth Fair
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorEmily Kirouac
Laboratory Phone(603) 668-4753
Laboratory LocationExecutive Health And Sports Center1 Highlander Way, Manchester, NH 03103
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 14

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

DR. KIRSTEN ENWRIGHT PT, DPT
Physical Therapist
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 782-3090
SYDNEY MORGAN RD, LDN
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753
HANNAH STEFL
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753
EMILY POLLARD
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753
BRIANNA MEARS RD
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753
EXPRESSMED, LLC
Clinic/Center (Urgent Care)
1 HIGHLANDER WAY, SUITE 2
MANCHESTER, NH 03103
Hillsborough County (603) 625-2622
CASIE MARCUS WHITE RD, CSCS
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753
MS. EMILY KIROUAC R.D., L.D.
Dietitian, Registered
1 HIGHLANDER WAY
MANCHESTER, NH 03103
Hillsborough County (603) 668-4753

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 Oasis Health & Sports Center Inc's NPI number?

The NPI number for Oasis Health & Sports Center Inc is 1881080935. It was assigned to this organization in the NPPES registry on April 15, 2015. The provider is doing business as Executive Health & Sports Center.

Where is Oasis Health & Sports Center Inc located?

Oasis Health & Sports Center Inc is located at 1 Highlander Way, Manchester, NH 03103. The listed phone number is (603) 624-9300.

What is Oasis Health & Sports Center Inc's specialty?

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

Does Oasis Health & Sports Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2138566) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oasis Health & Sports Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Oasis Health & Sports Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oasis Health & Sports Center Inc was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.