Individual provider Active NPI

Joanna J Reyes-Manneh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • London, OH
National Provider Identifier
1447868039
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037398 Issued in OH
Practice address
212 N Main St
London, OH 43140-1115
Phone
(740) 845-7286
Fax
(740) 845-7499
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.473518 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037398 OH Primary

Addresses

Primary practice location

212 N Main St
London, OH 43140-1115

Mailing address

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other practice location 1

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other names 1

  • Joanna J Jimenez Figueroa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115000367 OH Practitioner - Nurse Practitioner 1254865082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.473518OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rocking Horse Childrens Health Center CurrentSince Sep 9, 2024 Accepting new patients
Rocking Horse Childrens Health Center CurrentSince Sep 9, 2024 Accepting new patients
Rocking Horse Childrens Health Center Past Accepting new patients
Rocking Horse Childrens Health Center Past Accepting new patients
Rocking Horse Childrens Health Center Past Accepting new patients
Rocking Horse Childrens Health Center Past Accepting new patients

Locations

212 N Main St
London, OH 43140
Phone (740) 845-7000

651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111

Interoperability endpoints

  • Direct secure messaging: joanna.figueroa.p1@direct.rockinghorsecenter.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1447868039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051965",
            "telephone_number": "937-324-1111",
            "fax_number": "937-525-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401115",
            "telephone_number": "740-845-7286",
            "fax_number": "740-845-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 S Limestone St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051965",
            "country_code": "US",
            "telephone_number": "937-324-1111",
            "fax_number": "937-328-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES-MANNEH",
        "first_name": "JOANNA",
        "middle_name": "J",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.473518",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "JIMENEZ FIGUEROA",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.