Individual provider Active NPI

Shelly Faye Mannor, ASCP

  • Personal Care Attendant
  • Beatrice, NE
National Provider Identifier
1548061146
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
915 N 11TH St
Beatrice, NE 68310-2409
Phone
(402) 230-0208
NPI assigned
Mar 20, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NE
Adult Companion 372600000X NE
Personal Care Attendant 3747P1801X NE Primary

Addresses

Primary practice location

915 N 11TH St
Beatrice, NE 68310-2409

Mailing address

915 N 11TH St
Beatrice, NE 68310-2409
Phone (402) 230-0208

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

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1548061146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N 11TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102409",
            "telephone_number": "402-230-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N 11TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102409",
            "telephone_number": "402-230-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNOR",
        "first_name": "SHELLY",
        "middle_name": "FAYE",
        "credential": "ASCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.