Nichole E Mannahan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008940A Issued in IN

Practice address

5120 Weston Rd
Evansville, IN 47712-3702

Phone

(812) 424-4811

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Owensboro Health Medical Group, Inc

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1376594242
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1194293464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WESTON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123702",
            "telephone_number": "812-424-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 WESTON RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123702",
            "telephone_number": "812-424-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 Weston Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47712",
            "country_code": "US",
            "telephone_number": "812-424-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNAHAN",
        "first_name": "NICHOLE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008940A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Grace Mandrell, RDN
• Christopher Mann, OTR
• Jeremy Lewis Mann, PHARMD
• Marilyn Sue Mann, MSW LCSW
• Miles Daniel Mann II, MD
• Janet Mary Manning, DT
• Mansoor Ahmad Khan
• Joseph Mansour, MD
• Erica Marburger, MD
• Laura J Marburger, MD

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.