Active NPI
Kristen M McManus-Miller, APRN
- Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1447394655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN 974
- Practice address
- 411 Oak St.
Attn Credentials
Cincinnati, OH 45219 - Phone
- (513) 984-1800
- Fax
- (513) 984-4909
- NPI assigned
- Feb 19, 2007
- Last updated
- Mar 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN 974 | HI | Primary |
| Family Nurse Practitioner | 363LF0000X | 974 | HI |
Addresses
Primary practice location
411 Oak St.
Attn Credentials
Cincinnati, OH 45219
Mailing address
Evans Army Community Hospital
1650 Cochrane Circle
Fort Carson, CO 80913
Phone (719) 524-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | HI | |
| PENDING | Other | HI | HMSA |
| 12D0874687 | Other | HI | CLIA |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 974 | HI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Medical Associates | Past | Accepting new patients | |
| Sterling Adult Day Services | Past | Accepting new patients | |
| Cardiology Associates, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/11bc0c3c-c195-42b2-ba3e-5064c5f00185/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Cincinnati, OH
- NPI 1336226729
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1962567628
-
- Adult Day Care Clinic/Center
- Colorado Springs, CO
- NPI 1497927529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1447394655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-524-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 OAK ST.",
"address_2": "ATTN CREDENTIALS",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-984-1800",
"fax_number": "513-984-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS-MILLER",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "HI",
"license": "APRN 974",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "HI",
"license": "974",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "PENDING",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "12D0874687",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.