Organization provider

DIABETES AND LIFESTYLE MANAGEMENT, LLC

Primary Care Clinic/Center Family Nurse Practitioner Medicare enrolled

DIABETES AND LIFESTYLE MANAGEMENT, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1649649021, based in Derry, NH. The organization lists 2 taxonomy classifications, with Family Nurse Practitioner recorded as primary.

Getting there

The practice address on file is 15 TSIENNETO RD STE 200, Derry, NH 03038. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15 TSIENNETO RD STE 200, Derry, NH 03038 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
041658-23 NH Family Nurse Practitioner primary

This provider holds licence 041658-23 issued in NH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
9638488927

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
New Hampshire O20151028000992 Part B Supplier - Clinic/group Practice
Vermont O20200508001682 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (NH, VT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QP2300X Primary Care Clinic/Center Primary Care
363LF0000X Family Nurse Practitioner Family 041658-23 NH primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1649649021 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 16, 2015
Last updatedMay 28, 2026
StatusActive
Practice address 15 TSIENNETO RD STE 200
Derry, NH 03038
(603) 552-3309
Fax (603) 965-4177
This record was updated on May 28, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1649649021 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 4 9 6 4 9 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 8 9 3 4 9 0 4

Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1649649021?
NPI 1649649021 is the National Provider Identifier assigned to DIABETES AND LIFESTYLE MANAGEMENT, LLC in Derry, NH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact DIABETES AND LIFESTYLE MANAGEMENT, LLC?
The phone number on file with NPPES is (603) 552-3309, last updated May 28, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DIABETES AND LIFESTYLE MANAGEMENT, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1649649021 a valid number?
Yes. 1649649021 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.