Active NPI
Katherine D'Jernes McManama, MSN, FNP-C
- Nurse Practitioner
- Burlington, NC
National Provider Identifier
1063977106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011422
- Practice address
- 1238 Huffman Mill Rd
Burlington, NC 27215-8700 - Phone
- (336) 538-8093
- Fax
- (336) 538-7719
- NPI assigned
- Feb 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011422 | NC | Primary |
Addresses
Primary practice location
1238 Huffman Mill Rd
Burlington, NC 27215-8700
Mailing address
123 Windsor Cir
Chapel Hill, NC 27516-1208
Phone (919) 632-1740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011422 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1063977106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 WINDSOR CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161208",
"telephone_number": "919-632-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158700",
"telephone_number": "336-538-8093",
"fax_number": "336-538-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANAMA",
"first_name": "KATHERINE",
"middle_name": "D'JERNES",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-03",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.