Individual provider Active NPI

Dyana Manning, PA

  • Physician Assistant
  • Lowville, NY
National Provider Identifier
1215379649
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5402 Dayan St
Lowville, NY 13367-1100
Phone
(315) 375-5558
NPI assigned
Jul 26, 2013
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5402 Dayan St
Lowville, NY 13367-1100

Mailing address

5402 Dayan St
Lowville, NY 13367-1100
Phone (315) 375-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131101001032 NY Practitioner - Physician Assistant 4981839743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Family Health Center, Inc. CurrentSince Jan 27, 2025 Accepting new patients
North Country Family Health Center, Inc. Past Accepting new patients

Locations

13180 US Route 11
Adams Center, NY 13606
Phone (315) 583-5200

5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600

423 N Main St
Mannsville, NY 13661

1220 Coffeen St
Watertown, NY 13601
Phone (315) 786-1042

1237 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1335 Washington St
Watertown, NY 13601
Phone (315) 785-3700

1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700

171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750

238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450

Interoperability endpoints

  • Direct secure messaging: dyana.manning.1@21901.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1215379649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-375-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 DAYAN ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671100",
            "telephone_number": "315-375-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "DYANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.