Elizabeth Mannering, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000035457

Practice address

2227 Piedmont Ave
Berkeley, CA 94720-2325

Phone

(916) 601-0209

NPI assigned

Jan 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1174111694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 W 2ND ST",
            "city": "RIO LINDA",
            "state": "CA",
            "postal_code": "956734813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 PIEDMONT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202325",
            "telephone_number": "916-601-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNERING",
        "first_name": "ELIZABETH",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000035457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Eli Manfield
• Veena Manjunath, M.D.
• Isaac Mann-Silverman, LAC
• Monika Elizabeth Mann, RPT
• Rosemary P. Mann, MD
• Roxanne Manning, PH.D.
• Peter George Manoleas, LCSW
• Noie Manor
• Edward Manougian, M.D.
• Taryn Manuel

• Athletic Trainer in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.