Ashley M Mannisto

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703115887 Issued in MI

Practice address

2445 Miami Ave SW
Wyoming, MI 49519-2129

Phone

(616) 368-2505

NPI assigned

Feb 3, 2020

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1437780087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 MIAMI AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192129",
            "telephone_number": "616-368-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MIAMI AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192129",
            "telephone_number": "616-368-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNISTO",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703115887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanveer Mangat
• Daniel Lee Mann, D.O.
• Lexie E Mann, BEHAVIOR TECHNICIAN
• Marie Anne Mann
• Jason Ryan Manning, D.C.
• Takeela Mapp
• Katelyn Maranda, OTR
• Lindsey Ann Marchel, FNP-C
• Phillip M Marchese, MD
• Rachel Mares, DO

• Licensed Practical Nurse in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.