Kassandra Lea Manahan, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

0022487 Issued in MD

Practice address

13302 Pennsylvania Ave
Hagerstown, MD 21742-2675

Phone

(240) 513-3590

Fax

(301) 797-4975

NPI assigned

Jun 4, 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)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1205328580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13302 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422675",
            "telephone_number": "240-513-3590",
            "fax_number": "301-797-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422675",
            "telephone_number": "240-513-3590",
            "fax_number": "301-797-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "KASSANDRA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MD",
            "license": "0022487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Maiorino, M.D.
• Rebecca Makdad, CRNA
• Deborah Malberg, LCSWC
• Malik & Qadir MD PA
• Jane Malphrus, RN
• Sarah Kaye Manaois
• Anthony Christopher Manilla, D.O.
• Mann & Henry Podiatry Services, LLC
• Meghan Mann
• Marisa Paige Manning

• Basic Emergency Medical Technician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Basic Emergency Medical Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.