Organization Active NPI

Shelley a Manning LTD

  • Speech-Language Pathologist
  • Minooka, IL
National Provider Identifier
1275926107
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006630 Issued in IL
Legal business name
SHELLEY A MANNING LTD
Practice address
414 W Hunter LN
Minooka, IL 60447-4519
Phone
(815) 474-2146
Fax
(815) 290-5133
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shelley A Manning, SLPNPI 1659412195
Title
Owner
Phone
(815) 474-2146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 146006630 IL Primary

Addresses

Primary practice location

414 W Hunter LN
Minooka, IL 60447-4519

Mailing address

414 W Hunter LN
Minooka, IL 60447-4519
Phone (815) 474-2146

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1275926107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W HUNTER LN",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474519",
            "telephone_number": "815-474-2146",
            "fax_number": "815-290-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W HUNTER LN",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474519",
            "telephone_number": "815-474-2146",
            "fax_number": "815-290-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY A MANNING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-474-2146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minooka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.