Active NPI
Kathleen S Manning, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
National Provider Identifier
1114985645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R014287
- Practice address
- 2720 Stone Park Blvd
Sioux City, IA 51104-3734 - Phone
- (712) 255-2324
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R014287 | SD | Primary |
Addresses
Primary practice location
2720 Stone Park Blvd
Sioux City, IA 51104-3734
Mailing address
PO Box 683
Sioux City, IA 51102-0683
Phone (712) 255-2324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123695 | Medicaid | IA | |
| 0123794 | Medicaid | IA |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R014287 | SD | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1114985645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511020683",
"telephone_number": "712-255-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STONE PARK BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043734",
"telephone_number": "712-255-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "KATHLEEN",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R014287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123695",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123794",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
- Cindy Mammen, PA-C
- Manley & Obbink Chiropractic and Acupuncture LLP
- Christopher Manley, D.C.
- Brigitte Ann Mann, ARNP
- Lucas Steven Mann, LMHC
- Denise Acker Marandola, PH.D
- Kristina A Marburger, D.O.
- Keali Renae Mari, DPT
- Marian Health Center -SMHC (MercyOne Siouxland Medical Center)
- Marian Health Center -SMHC (Mercy Medical Center-Sioux City)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.