Courtney Patterson-Manfredi, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75185 Issued in KS

Practice address

14925 E Tipperary Cir
Wichita, KS 67230-7034

Phone

(316) 259-2411

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, VA, FL, MD, AR, MS, CO, NY8 enrollments

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 8

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meditelecare of Kansas LLC

  • Psychologist
  • Topeka, KS
  • NPI 1083116628
  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  AR, CO, KS, MD, MS, NY

  Medicare reassignment NPD
• Insight Physicians PC

  • Psychiatry Physician
  • Richmond, VA
  • NPI 1801817150
  Medicare reassignment NPD

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1528465135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14925 E TIPPERARY CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307034",
            "telephone_number": "316-259-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14925 E TIPPERARY CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307034",
            "telephone_number": "316-259-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-MANFREDI",
        "first_name": "COURTNEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Ters, MD, PA
• Naveed Patrick
• Janise L Patry, LSCSW
• Julie Marie Meyer Patry, LCSW, MSW
• Patsy Barker MD PA
• Benjamin Richard Patterson, OTR/L
• Brandt Dalton Patterson
• Cereasa Leeann Patterson, NURSE PRACTITIONER
• Dawn Annjeanette Patterson, LSCSW
• Joanna L Patterson, P.A.

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.