Diabetes and Lifestyle Management, LLC
NPI 1649649021ActiveOrganization· Nurse Practitioner, Family· Derry, NH
Nurse Practitioner, Family in Derry, New Hampshire, registered in NPPES in September 2015. The authorized official on file is Stephanie Leigh Harris, RN, BSN, BSBA, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1649649021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2015 |
| Last updated in NPPES | Sep 22, 2026 |
| Certified by provider | Sep 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 041658-23 | NH |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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