Individual provider Active NPI

Robert D. Manning, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Prestonsburg, KY
National Provider Identifier
1194719989
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
240 Issued in KY
Practice address
1428 N Lake Dr
Prestonsburg, KY 41653-1293
Phone
(606) 886-3773
Fax
(606) 886-9124
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 89 KY
Audiologist-Hearing Aid Fitter 237600000X 240 KY Primary

Addresses

Primary practice location

1428 N Lake Dr
Prestonsburg, KY 41653-1293

Mailing address

1428 N Lake Dr
Prestonsburg, KY 41653-1293
Phone (606) 886-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828001100 KY Practitioner - Qualified Audiologist 8527150234 Reassigns benefits to 1 organization
Practice locations: Pikeville, KY; Prestonsburg, KY; Lexington, KY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0089KYMDMental Health Counselor
89KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Manning Audiologist CurrentSince Jan 1, 1990 Accepting new patients
Audiology Associates Audiologist-Hearing Aid Fitter PastSince Jun 1, 2015 Accepting new patients

Locations

1428 N Lake Dr
Prestonsburg, KY 41653
Phone (606) 263-1552

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1194719989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531293",
            "telephone_number": "606-886-3773",
            "fax_number": "606-886-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531293",
            "telephone_number": "606-886-3773",
            "fax_number": "606-886-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "89",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.