NPIMap

Allison Michelle Manning, APRN, NP-C

Individual provider Active NPI Family Nurse Practitioner · Jackson, KY

NPI 1477818896 · NPPES record last updated Mar 13, 2020

Key facts

NPI
1477818896
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3007479 (KY)
Practice address
1484 Lakeside Drive
Jackson, KY 41339-6555
Phone
(606) 666-9950
Fax
(606) 666-9136
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juniper Health Inc (22 clinicians)

Practice addresses (Care Compare)

1025 Grand Ave
Beattyville, KY 41311-7484
Phone (606) 464-2401

Hospital & facility affiliations

  • Kentucky River Medical Center Hospital · Jackson, KY · CCN 181334

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121025000292 KY Practitioner - Nurse Practitioner 5092965129 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Health Inc Current
since Dec 30, 2013		 Accepting new patients
Juniper Health Inc Current Accepting new patients
QPS LLC Current
since Dec 30, 2013		 Accepting new patients
Juniper Health Inc Past Accepting new patients

Locations

1665 Highway 11 S
Beattyville, KY 41311
Phone (606) 464-2401

599 Lee Ave
Beattyville, KY 41311
Phone (606) 464-2401

1025 Grand Ave
Beattyville, KY 41311
Phone (606) 464-2401

10355 Highway 30 W
Booneville, KY 41314
Phone (606) 666-9950

2085 US Highway 460 E
Frenchburg, KY 40322
Phone (606) 768-3725

11134 KY Highway 191
Hazel Green, KY 41332
Phone (606) 662-8252

940 Highland Ave
Jackson, KY 41339
Phone (606) 666-4979

2307 Bobcat Ln
Jackson, KY 41339
Phone (606) 666-9950

1484 Lakeside Dr
Jackson, KY 41339
Phone (606) 666-9950

141 Main St
Old Landing, KY 41311

1745 Ky 715
Rogers, KY 41365
Phone (606) 668-7385

Interoperability endpoints

  • Direct secure messaging: allisonmanning@juniperhea.allscriptsdirect.net
  • Direct secure messaging: allison.manning.p1@direct.juniperhealth.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007479 KY Yes

Addresses

Primary practice location

1484 Lakeside Drive
Jackson, KY 41339-6555

Mailing address

PO Box 690
Beattyville, KY 41311-0690
Phone (606) 464-0151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2020.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1477818896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413110690",
            "telephone_number": "606-464-0151",
            "fax_number": "606-464-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 LAKESIDE DRIVE",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413396555",
            "telephone_number": "606-666-9950",
            "fax_number": "606-666-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ALLISON",
        "middle_name": "MICHELLE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

All providers in Jackson, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.