Shena Antronette Manning, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN209840 Issued in AZ

Practice address

6340 E Boise St
Mesa, AZ 85205-8341

Phone

(773) 513-9131

NPI assigned

Aug 6, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shena Antronette Shead Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1295610632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 E MAIN ST STE 149",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058928",
            "telephone_number": "773-513-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 E BOISE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058341",
            "telephone_number": "773-513-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "SHENA",
        "middle_name": "ANTRONETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN209840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENA",
            "last_name": "SHEAD",
            "middle_name": "ANTRONETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Mann
• Raheel Ashraf Mann, D,C.
• Carla S Mannes, LMSW
• Bridget Manning, M.S. CCC-SLP
• Mary Greene Manning, PHARM.D.
• William Zachary Manning, MD
• Andriana Manriquez
• Brooke Mansfield, PA-C
• Minan Mansour, DMD
• Alexandra Manter, ND

• General Practice Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.