Active NPI
Stephanie Mancuso, RD, DC, FICPA
- Nutrition Chiropractor
- Scottsdale, AZ
National Provider Identifier
1346374758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 5988
- Practice address
- 8402 E Shea Blvd
Suite 103
Scottsdale, AZ 85260-6635 - Phone
- (480) 219-4439
- Fax
- (480) 219-4569
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 5988 | AZ | Primary |
Addresses
Primary practice location
8402 E Shea Blvd
Suite 103
Scottsdale, AZ 85260-6635
Mailing address
8402 E Shea Blvd
Suite 103
Scottsdale, AZ 85260-6635
Phone (480) 219-4439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0941110 | Other | AZ | BCBS |
Other names 1
- Dr. Stephanie Mancuso-Rennie
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5988 | AZ | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Technologies Inc | Past | Accepting new patients | |
| Infinite Potential Centers for Healing, Inc. | Nutrition | Past | Accepting new patients |
| Farhi Family Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Nutrition Chiropractor
- Scottsdale, AZ
- NPI 1649440561
-
- Chiropractor
- Phoenix, AZ
- NPI 1790059012
-
- Chiropractor
- Wellington, FL
- NPI 1548205768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1346374758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8402 E SHEA BLVD",
"address_2": "SUITE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606635",
"telephone_number": "480-219-4439",
"fax_number": "480-219-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 E SHEA BLVD",
"address_2": "SUITE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606635",
"telephone_number": "480-219-4439",
"fax_number": "480-219-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "RD, DC, FICPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "AZ",
"license": "5988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0941110",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MANCUSO-RENNIE",
"prefix": "DR.",
"credential": "RD, DC, FICPA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.