Kelvin Manurs, PRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

0735000416 Issued in VA

Practice address

8220 Russell Rd
Alexandria, VA 22309-8218

Phone

(571) 245-4568

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Arm & Arm Inc

  • Peer Specialist
  • Reston, VA
  • NPI 1124769831
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1598406589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223098218",
            "telephone_number": "571-245-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 RUSSELL RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223098218",
            "telephone_number": "571-245-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Campbell Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312302",
            "country_code": "US",
            "telephone_number": "571-245-4568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANURS",
        "first_name": "KELVIN",
        "name_prefix": "Mr.",
        "credential": "PRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VA",
            "license": "0735000416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Mannino
• Omid Manoochehri
• Manor Care of Alexandria VA LLC (ProMedica Skilled Nursing and Rehabilitation (Alexandria))
• Wichayapha Manorak, DDS
• Rebecca Raymond Manthey, M.A., L.P.C.
• Jennifer Lux Manz
• Katherine Jane Manzanares
• Mar 24 Transportation LLC
• Alice Mar, M.D.
• Khadra Maraheel

• Peer Specialist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Peer Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.