Individual provider Active NPI

Tiffany Lyn McManis, ARNP

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1477843472
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75333-071 Issued in KS
Practice address
1700 SW College Ave
Morgan Hall Room 170
Topeka, KS 66621-0001
Phone
(785) 670-1470
Fax
(785) 670-1029
NPI assigned
Apr 11, 2011
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2011008571 MO
Family Nurse Practitioner 363LF0000X 2011008571 MO
Family Nurse Practitioner 363LF0000X 53-75333-071 KS Primary

Addresses

Primary practice location

1700 SW College Ave
Morgan Hall Room 170
Topeka, KS 66621-0001

Mailing address

1700 SW College Ave
Morgan Hall Room 170
Topeka, KS 66621-0001
Phone (785) 670-1470

Other names 1

  • Tiffany L Wullschleger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230210001348 KS Order and Referring Only - Nurse Practitioner 3072790492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75333-071KSMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tiffany.mcmanis.1@33888.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1477843472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SW COLLEGE AVE",
            "address_2": "MORGAN HALL ROOM 170",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666210001",
            "telephone_number": "785-670-1470",
            "fax_number": "785-670-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW COLLEGE AVE",
            "address_2": "MORGAN HALL ROOM 170",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666210001",
            "telephone_number": "785-670-1470",
            "fax_number": "785-670-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "TIFFANY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2011008571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011008571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75333-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WULLSCHLEGER",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.