Active NPI
Paula Manley, RN
- Counselor
- Green Bay, WI
National Provider Identifier
1396891081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2680 Vernon Dr
Green Bay, WI 54304-5374 - Phone
- (920) 496-4700
- NPI assigned
- Jan 26, 2007
- Last updated
- Jan 6, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
2680 Vernon Dr
Green Bay, WI 54304-5374
Mailing address
2680 Vernon Dr
Green Bay, WI 54304-5374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39787500 | Medicaid | WI |
Other names 1
- Paula Vanstraten
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
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Past | Accepting new patients | |
| Prevea Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Chippewa Falls, WI
- NPI 1588110969
-
dba Prevea Health
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1396891081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 VERNON DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 VERNON DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045374",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "PAULA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39787500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "VANSTRATEN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Green Bay, WI
- Erika Susanne Mangin, RN, APN, PMHNP-BC
- Kali Maniam, MD
- Amber Rae Manion
- David Alvin Manke, MD
- Michael R Mankovecky, DPM
- Randi Mann, NP
- Koti R Mannem, MD
- Manor Care of Green Bay Wi (East) LLC (ManorCare Health Services-East)
- Manor Care of Green Bay Wi (West) LLC (ManorCare Health Services-West)
- Mitchell W Manthey, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.