Beth Gleason McManis, CNM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

15064 Issued in CA

Practice address

1041 Brookside Rd
Stockton, CA 95211-0001

Phone

(209) 946-2315

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beth Gleason Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of the Pacific

  • Clinic/Center
  • Stockton, CA
  • NPI 1922105824
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1295757714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 BROOKSIDE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001",
            "telephone_number": "209-946-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 BROOKSIDE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001",
            "telephone_number": "209-946-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "BETH",
        "middle_name": "GLEASON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1655",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GLEASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Apriely L McKinney
• Milan Jeanette Doretha McKinney
• Destaney McKinnie
• Stephanie McKnight
• Elizabeth R. McKoy, FNP
• Tasonja McMclain
• Leihua Ationi McMiller, LMFT
• Ashley Nichole McMillion
• Brandon McMinn, PT, DPT
• Linsey McMinn, PHARMD

• Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.