Individual provider Active NPI

Anne-Emmanuelle Sophie Manebard, RN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1295499333
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
819899 Issued in NY
Practice address
492 Kosciuszko St Apt 2
Brooklyn, NY 11221-2308
Phone
(646) 294-3706
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 819899 NY Primary

Addresses

Primary practice location

492 Kosciuszko St Apt 2
Brooklyn, NY 11221-2308

Mailing address

492 Kosciuszko St Apt 2
Brooklyn, NY 11221-2308
Phone (646) 294-3706

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
819899NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1295499333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 KOSCIUSZKO ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212308",
            "telephone_number": "646-294-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 KOSCIUSZKO ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212308",
            "telephone_number": "646-294-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEBARD",
        "first_name": "ANNE-EMMANUELLE",
        "middle_name": "SOPHIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "819899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.