Jolene Marie McManus, B.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

HA-1604 Issued in ID

Practice address

180 Michigan Ave.
Orofino, ID 83544

Phone

(208) 476-3921

Fax

(208) 476-3921

NPI assigned

Nov 6, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Family Eye Care of Orofino, P.a.

  • Optometrist
  • Orofino, ID
  • NPI 1629210331
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1265769509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "address_2": "180 MICHIGAN AVE.",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "83544",
            "telephone_number": "208-476-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MICHIGAN AVE.",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "83544",
            "telephone_number": "208-476-3921",
            "fax_number": "208-476-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "JOLENE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "HA-1604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808223600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malone Counseling Service, PLLC
• Frederick James Malone, MSW,LCSW
• Willian L Marks, P.T.
• Erin Jean Massey, LCSW
• Kelly McGrath, MD
• Albert William Merritt, CRNA
• Michael K. Richardson
• Michael Burns Miller Jr., DDS
• Sherri Mills
• Nicolo Montecalvo, DC

• Specialist in Orofino, ID
• Providers in Orofino, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.