Active NPI
Kathleen Roxanne Manning, AGPCNP-BC
- Nurse Practitioner
- Mobile, AL
National Provider Identifier
1639026883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3-002870
- Practice address
- 6801 Airport Blvd
Mobile, AL 36608-3709 - Phone
- (251) 633-1000
- NPI assigned
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3-002870 | AL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 3-002870 | AL |
Addresses
Primary practice location
6801 Airport Blvd
Mobile, AL 36608-3709
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Phone (904) 372-3943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (904) 372-3943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-002870 | AL | MD | Gerontology Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1013461193
AL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1639026883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7751 BELFORT PKWY STE 120",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566921",
"telephone_number": "904-372-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083709",
"telephone_number": "251-633-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "KATHLEEN",
"middle_name": "ROXANNE",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-16",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "3-002870",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "3-002870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.