Active NPI
Susan Slack Manning, CCC SLP
- Speech-Language Pathologist
- Burlington, NC
National Provider Identifier
1508808130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1778
- Practice address
- 2239 Walker Ave
Burlington, NC 27215-4520 - Phone
- (336) 585-0033
- Fax
- (336) 585-0033
- NPI assigned
- Jun 11, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1778 | NC | Primary |
Addresses
Primary practice location
2239 Walker Ave
Burlington, NC 27215-4520
Mailing address
2239 Walker Ave
Burlington, NC 27215-4520
Phone (336) 585-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411651 | Medicaid | NC | |
| 13295 | Other | NC | BLUE CROSS/BLUE SHIELD |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan S. Manning | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508808130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2239 WALKER AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272154520",
"telephone_number": "336-585-0033",
"fax_number": "336-585-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 WALKER AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272154520",
"telephone_number": "336-585-0033",
"fax_number": "336-585-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "SUSAN",
"middle_name": "SLACK",
"name_prefix": "Ms.",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7411651",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "13295",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.