Destini Darne'a Manuel

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4614 Eastlawn Ave
Dale City, VA 22193-2219

Phone

(419) 442-9251

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1396327003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 EASTLAWN AVE",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "419-442-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 EASTLAWN AVE",
            "city": "DALE CITY",
            "state": "VA",
            "postal_code": "221932219",
            "telephone_number": "419-442-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "DESTINI",
        "middle_name": "DARNE'A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant of Maryland LLC
• Hanna Hanania, DDS
• Raymond C Haston Jr., DDS
• Najma J Khan, MD
• Marc Fernandez Lampa, D.C.
• Robert L McClure, D.C.
• Nai Saturn Eastern LLC
• Nikki Trinh Thuy Nguyen, D.D.S.
• Northern Virginia Family Care LLC
• El-Sheba Okwei, PHARMD

• Athletic Trainer in Dale City, VA
• Providers in Dale City, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.