Active NPI
Nicole Iona Manuel, LVN
- Licensed Vocational Nurse
- Anchorage, AK
National Provider Identifier
1316447014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 321835
- Practice address
- 670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561 - Phone
- (907) 770-0862
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 220960 | AK | |
| Licensed Vocational Nurse | 164X00000X | 321835 | TX | Primary |
Addresses
Primary practice location
670 W Fireweed LN Ste 160
Anchorage, AK 99503-2561
Mailing address
2802 W Bay Area Blvd Apt 1601
Webster, TX 77598-3121
Phone (409) 284-3419
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 |
|---|---|---|---|
| 220960 | AK | MD | Licensed Vocational Nurse |
| 321835 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1316447014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 W BAY AREA BLVD APT 1601",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775983121",
"telephone_number": "409-284-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 W FIREWEED LN STE 160",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032561",
"telephone_number": "907-770-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "NICOLE",
"middle_name": "IONA",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "AK",
"license": "220960",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "321835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.