Betty Reynolds Manning

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

360288 Issued in NY

Legal business name

BETTY REYNOLDS MANNING

Practice address

451 Charleson Ave
Kings County Hosp
Brooklyn, NY 11236

Phone

(718) 257-0914

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Hathee Reynold Manning, NP

Title

Nurse Practitioner

Phone

(718) 257-0914

Specialties & licenses 1

Addresses

Other names 1

• Betty Manning Other name

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1619933702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 EAST 105TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-257-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 CHARLESON AVE",
            "address_2": "KINGS COUNTY HOSP",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-257-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY REYNOLDS MANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "REYNOLD MANNING",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "HATHEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "718-257-0914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "360288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betty Manning",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.