Ashley E Mancuso

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

7384841 Issued in NY

Practice address

164 Jefferson Ave
Fairport, NY 14450-1912

Phone

(585) 770-3356

NPI assigned

Aug 18, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1104472810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 JEFFERSON AVE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501912",
            "telephone_number": "585-770-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 JEFFERSON AVE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501912",
            "telephone_number": "585-770-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "ASHLEY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "7384841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVES LISCENCE",
            "identifier": "357730319",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "me",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "164 Jefferson Ave",
            "city": "Fairport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144501912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Maley
• Everien Rebecca Malone, SLP
• Amie Maloney, MS ED
• Mana Performance Physical Therapy
• Nancy Mancini
• Theresa Mancuso, OCCUPATIONAL THERAPI
• Laura Ann Mangerian-Smith, RN
• Lea Rose Manilla, L.AC., DIPL. O.M.
• Brookleigh Renne Manioci, COTA
• Kirstyn Ann Manning, SLP

• Registered Nurse in Fairport, NY
• Providers in Fairport, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.