Reta Nichole Manwill, DEM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Practice address

270 Coatsville Ave
Salt Lake City, UT 84115-1927

Phone

(801) 415-9888

Fax

(801) 521-0196

NPI assigned

Feb 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Reta Nichole Partner-Preece Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1063734341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COATSVILLE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151927",
            "telephone_number": "801-415-9888",
            "fax_number": "801-521-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COATSVILLE AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841151927",
            "telephone_number": "801-415-9888",
            "fax_number": "801-521-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANWILL",
        "first_name": "RETA",
        "middle_name": "NICHOLE",
        "credential": "DEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RETA",
            "last_name": "PARTNER-PREECE",
            "middle_name": "NICHOLE",
            "credential": "DEM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Max Manwaring-Mueller
• Jeremy Dwight Manwaring, DMD,MS
• Jon D Manwaring, DDS
• Michelle Manwaring
• Nicole Manwaring
• Brianna Manzanares
• Frederick Manzano
• Melissa Elizabeth Manzano
• Joel Anthony Manzi
• Rong Mao, M.D.

• Lay Midwife in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Lay Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.