Active NPI
Irene Mankasibe Fuh
- Psychiatric/Mental Health Registered Nurse
- Middletown, DE
National Provider Identifier
1104187954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- L8-0000201
- Practice address
- 210 Ann Dr Apt 304
Middletown, DE 19709-2606 - Phone
- (240) 476-5680
- NPI assigned
- Jun 7, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | L8-0000201 | DE | Primary |
Addresses
Primary practice location
210 Ann Dr Apt 304
Middletown, DE 19709-2606
Mailing address
210 Ann Dr Apt 304
Middletown, DE 19709-2606
Phone (240) 476-5680
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1104187954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 ANN DR APT 304",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197092606",
"telephone_number": "240-476-5680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 ANN DR APT 304",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197092606",
"telephone_number": "240-476-5680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUH",
"first_name": "IRENE",
"middle_name": "MANKASIBE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0000201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
- Hallie Katrina Forsythe-Dennison, CRNP
- Shannetta Foxmoor
- Freedom Dental Care de LLC (Westown Dental)
- Freedom Dental Care de LLC (Sleepy Tooth Orthodontics)
- Fresenius Medical Care Northern Delaware, LLC (Fresenius Medical Care of Middletown)
- Lacey Nicole Funk, FNP-C
- Fusion Healthworks, LLC
- Linda Gable-Stewart, RN, PMHNP,BC
- Nancy Gabriel-Williams, LPC, LPCMH, NCC
- Joanne M Gaines, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.