Active NPI
Nicole Zeanette Spector Mans, MS, LCGC
- Genetic Counselor (M.S.)
- Sacramento, CA
National Provider Identifier
1215291315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GC000424
- Practice address
- 2279 45TH St
Familial Cancer Program
Sacramento, CA 95817 - Phone
- (916) 734-4314
- Fax
- (916) 457-4531
- NPI assigned
- Jul 3, 2012
- 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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GC000424 | CA | Primary |
Addresses
Primary practice location
2279 45TH St
Familial Cancer Program
Sacramento, CA 95817
Mailing address
2279 45TH St
Sacramento, CA 95817-1514
Phone (916) 734-5959
Other names 1
- Nicole Mans
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GC000424 | CA | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1215291315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 45TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171514",
"telephone_number": "916-734-5959",
"fax_number": "916-457-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 45TH ST",
"address_2": "FAMILIAL CANCER PROGRAM",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-4314",
"fax_number": "916-457-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANS",
"first_name": "NICOLE",
"middle_name": "ZEANETTE SPECTOR",
"credential": "MS, LCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "CA",
"license": "GC000424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MANS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.