Active NPI
Nancy Evans Manley, WHCNP
- Women's Health Nurse Practitioner
- McMinnville, OR
National Provider Identifier
1467488320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Practice address
- 2700 SE Stratus Ave
Suite 301
McMinnville, OR 97128 - Phone
- (503) 474-1148
- Fax
- (503) 434-6148
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | OR | Primary |
Addresses
Primary practice location
2700 SE Stratus Ave
Suite 301
McMinnville, OR 97128
Mailing address
2700 SE Stratus Ave
Suite 301
McMinnville, OR 97128
Phone (503) 474-1148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292901 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467488320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE",
"address_2": "SUITE 301",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-474-1148",
"fax_number": "503-434-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE",
"address_2": "SUITE 301",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-474-1148",
"fax_number": "503-434-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "NANCY",
"middle_name": "EVANS",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292901",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.