Manning Family Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD112734 Issued in MO

Legal business name

MANNING FAMILY CARE, LLC

Practice address

4240 Blue Ridge Blvd
Suite 611
Kansas City, MO 64133-1713

Phone

(816) 356-2020

Fax

(816) 356-2022

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Deborah J Manning, M.D.

Title

Owner

Phone

(816) 356-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Grace Frey, MSN, FNP-BC, RNFA

  • Family Nurse Practitioner
  • Peculiar, MO
  • NPI 1639109440
  NPD (past)
• Molly Kurtz, PA-C

  • Medical Physician Assistant
  • Kansas City, MO
  • NPI 1912328691
  NPD (past)
• Misty Stambach, PA-C

  • Medical Physician Assistant
  • Kansas City, MO
  • NPI 1396085395
  NPD (past)
• Nicole E Shutts, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1023251535
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295858926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 611",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "816-356-2020",
            "fax_number": "816-356-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 611",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "816-356-2020",
            "fax_number": "816-356-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-356-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD112734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "25584030",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mellony June Mann, DPT
• Phillip Boyd Mann Jr., DO
• Sandra Mann
• Anjali Srikanth Mannava, MD
• Sharon Mannering, APRN
• Manning Family Practice, LLC
• Deborah Joy Manning, M.D.
• Beyene Abate Manniso
• Angela Renee Manns, APRN PMHNP-BC
• Varun Manohara, MD

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.