Kori Elizabeth Manfredo, CRNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017974 Issued in PA

Practice address

1626 Locust St
Philadelphia, PA 19103

Phone

(470) 410-4080

NPI assigned

Oct 16, 2017

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)

Enrolled

Credentials

Nurse Practitioner

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.

• California Birdie Health, P.C.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1730944125
  NPD (past)
• Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1740788702
  NPD (past)
• Nevada Gandhi Health PC

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1689497349
  NPD (past)
• New Jersey Birdie Health PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1558971929
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1265943435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 IVY DR",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "470-410-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 W Broad St Ste 1330",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153307",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W South Temple Ste 600",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841011536",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 E 7th St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013218",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 University Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254254",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 N 19th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585012121",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Adlai Stevenson Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627034261",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Bishop St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968136452",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Gateway Oaks Dr Ste 150N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958333502",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 S Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361045809",
            "country_code": "US",
            "telephone_number": "772-217-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Anderson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152125803",
            "country_code": "US",
            "telephone_number": "412-322-4151",
            "fax_number": "412-621-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANFREDO",
        "first_name": "KORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mane Home Care of Pennsylvania LLC
• Nihita Manem, MD
• Mustafa Maner, DMD
• Taylor Lynn Manetti, MSW
• Michael A Manfredi, M.D.
• Peter Manga
• Nilam Suryakant Mangalmurti, MD
• Kenneth F Mangan, MD
• Mary C Mangan, MSN, CRNP
• Olivia Marie Mangan

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.