Individual provider Active NPI

Minerva Manilay, RNFA

  • Registered Nurse First Assistant
  • Annapolis, MD
National Provider Identifier
1609140797
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
R103800 Issued in MD
Practice address
626C Admiral Dr
Suite748
Annapolis, MD 21401-2151
Phone
(443) 336-5626
NPI assigned
Mar 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X R103800 MD Primary

Addresses

Primary practice location

626C Admiral Dr
Suite748
Annapolis, MD 21401-2151

Mailing address

1654 Secretariat Dr
Annapolis, MD 21409-5616
Phone (443) 336-5626

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

State licenses

LicenseStateTypeSpecialty
R103800MDMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1609140797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 SECRETARIAT DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095616",
            "telephone_number": "443-336-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626C ADMIRAL DR",
            "address_2": "SUITE748",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012151",
            "telephone_number": "443-336-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANILAY",
        "first_name": "MINERVA",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MD",
            "license": "R103800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.