Active NPI
Barbara A Manning, NP
- Adult Health Nurse Practitioner
- Danvers, MA
National Provider Identifier
1164570321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 173085
- Practice address
- 75 Sylvan St
Suite B-102
Danvers, MA 01923-2763 - Phone
- (978) 774-7566
- NPI assigned
- Jan 6, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 173085 | MA | Primary |
Addresses
Primary practice location
75 Sylvan St
Suite B-102
Danvers, MA 01923-2763
Mailing address
819 Worcester Street
Suite 3
Springfield, MA 01151-1001
Phone (978) 774-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0719048 | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173085 | MA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1164570321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WORCESTER STREET",
"address_2": "SUITE 3",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011511001",
"telephone_number": "978-774-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SYLVAN ST",
"address_2": "SUITE B-102",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232763",
"telephone_number": "978-774-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "BARBARA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "173085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0719048",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.