Individual provider Active NPI

Keith Manley

  • Taxi
  • Murfreesboro, NC
National Provider Identifier
1295298347
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
T69005375 Issued in VA
Practice address
1319 New St
Murfreesboro, NC 27855-1119
Phone
(252) 506-1784
NPI assigned
Apr 6, 2019
Last updated
Apr 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Taxi 344600000X T69005375 VA Primary

Addresses

Primary practice location

1319 New St
Murfreesboro, NC 27855-1119

Mailing address

1319 New St
Murfreesboro, NC 27855-1119
Phone (252) 506-1784

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

State licenses

LicenseStateTypeSpecialty
T69005375VAMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1295298347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 NEW ST",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551119",
            "telephone_number": "252-506-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 NEW ST",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "278551119",
            "telephone_number": "252-506-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "VA",
            "license": "T69005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.