Active NPI
Mary Ellis Manning, M.A.
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1275714057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-2038
- Practice address
- 1234 Divisadero St
San Francisco, CA 94115-3911 - Phone
- (415) 921-7658
- Fax
- (415) 921-2243
- NPI assigned
- Nov 20, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-2038 | CA | Primary |
Addresses
Primary practice location
1234 Divisadero St
San Francisco, CA 94115-3911
Mailing address
1234 Divisadero St
San Francisco, CA 94115-3911
Phone (415) 921-7658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ48264Z | Medicaid | CA |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-2038 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing and Speech Center of Northern California | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- San Francisco, CA
- NPI 1164577433
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1275714057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153911",
"telephone_number": "415-921-7658",
"fax_number": "415-921-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153911",
"telephone_number": "415-921-7658",
"fax_number": "415-921-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "MARY",
"middle_name": "ELLIS",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SLP-2038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ48264Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.