Susan Mani, FP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

18325 Issued in SC

Practice address

101 E Wood St
Spartanburg, SC 29303-3040

Phone

(864) 560-6012

Fax

(864) 560-6013

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spartanburg Medical Center

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Spartanburg, SC
  • NPI 1073911285
  NPD
• Physician'S Pain and Spine Center, LLC

  • Interventional Pain Medicine Physician
  • West Coumbia, SC
  • NPI 1336475573
  NPD (past)
• Spartanburg Medical Center

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)
• Agape Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1679826549
  NPD (past)
• East Valley Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Queen Creek, AZ
  • NPI 1609173293
  NPD (past)
• Ev Pain Solutions, LLC

  • Ambulatory Surgical Clinic/Center
  • Queen Creek, AZ
  • NPI 1013213156
  NPD (past)
• Hospitalists of Arizona, Inc

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1508194036
  NPD (past)
• Linda Wroten P.C.

  • Nurse Practitioner
  • Tucson, AZ
  • NPI 1851497952
  NPD (past)
• Peoria Pain Physicians

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1588996151
  NPD (past)
• Rehab Solutions, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1679593131
  NPD (past)
• Tucson Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Tucson, AZ
  • NPI 1093043457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1053394486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6012",
            "fax_number": "864-560-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "SUSAN",
        "credential": "FP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN086518",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "18325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367690",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2764",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Malunay, LPC
• Joanne M Mambretti-Dennison, PT
• Mark William Mancebo
• Naimisha Reddy Mandala, DDS
• Sukhdeep Kaur Mander, NP
• John Nicholas Mann, NP-C
• Patricia Manning
• Vanessa A Manotas, BS
• Kristin M Manske, DPT
• Elizabeth Denise Manthe

• All providers in Spartanburg, SC
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.