Christine J Mannetta, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

558823 Issued in NY

Practice address

59 Kings Ferry Rd
Montrose, NY 10548-1422

Phone

(845) 743-5240

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1215570858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 KINGS FERRY RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481422",
            "telephone_number": "845-743-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 KINGS FERRY RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481422",
            "telephone_number": "845-743-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNETTA",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "558823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Ma, PHARMD
• William E. Madison, LMSW
• Erik M Magnussen III, LCSW
• Qurtullean Malik, OD
• Joanne J. Malina, MD
• Leonard Joseph Manzella Jr., RPH
• Michelle H Mardit, LMSW
• Yael Margolin-Rice, PH.D.
• Carolina Marie Marrero, MS, RD, CDN
• David James Marshall, LCSW

• School Registered Nurse in Montrose, NY
• Providers in Montrose, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.