Active NPI
Cody Manuel
- Emergency Registered Nurse
- Wichita, KS
National Provider Identifier
1295434645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 141336
- Practice address
- 1836 E McKnight St
Wichita, KS 67211-1915 - Phone
- (316) 706-9707
- NPI assigned
- Feb 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 141336 | KS | Primary |
Addresses
Primary practice location
1836 E McKnight St
Wichita, KS 67211-1915
Mailing address
1836 E McKnight St
Wichita, KS 67211-1915
Phone (316) 706-9707
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
| License | State | Type | Specialty |
|---|---|---|---|
| 141336 | KS | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1295434645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 E MCKNIGHT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111915",
"telephone_number": "316-706-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 E MCKNIGHT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672111915",
"telephone_number": "316-706-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "KS",
"license": "141336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.