Active NPI
Sarah Tierney Manning, PA-C
- Physician Assistant
- Oak Lawn, IL
National Provider Identifier
1255878518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.006078
- Practice address
- 4400 W 95TH St
Suite 413
Oak Lawn, IL 60453-2654 - Phone
- (708) 346-4055
- Fax
- (708) 499-0948
- NPI assigned
- Jan 25, 2017
- Last updated
- Jan 25, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.006078 | IL | Primary |
Addresses
Primary practice location
4400 W 95TH St
Suite 413
Oak Lawn, IL 60453-2654
Mailing address
4400 W 95TH St
Suite 413
Oak Lawn, IL 60453-2654
Phone (708) 346-4055
Other names 1
- Tierney Manning
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006078 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1255878518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W 95TH ST",
"address_2": "SUITE 413",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532654",
"telephone_number": "708-346-4055",
"fax_number": "708-499-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 95TH ST",
"address_2": "SUITE 413",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532654",
"telephone_number": "708-346-4055",
"fax_number": "708-499-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "SARAH",
"middle_name": "TIERNEY",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.006078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIERNEY",
"last_name": "MANNING",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oak Lawn, IL
- Paige C Maniakouras, MMS, PA-C
- Anna Manilla
- Meredith Ann Manire, MD, PHD
- Carolyn Wassberg Manley, LCPC
- Amr Mannaa
- Scherry Manning
- Manor Care of Oak Lawn (East) Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Oak Lawn East))
- Manor Care of Oak Lawn (West) Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Oak Lawn West))
- Madeline E. Manske, SLP
- Sheena Agarwal Mansukhani, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.