Manouchka Lominy, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

190413 Issued in GA

Practice address

1750 Powder Springs Rd SW Ste 510
Marietta, GA 30064-4849

Phone

(770) 875-8889

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Marie Manouchka Bellerice Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Clinic Klinic

  • Primary Care Clinic/Center
  • Marietta, GA
  • NPI 1134793102
  Medicare reassignment

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1639302953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LAUREL CHASE SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643968",
            "telephone_number": "770-429-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 POWDER SPRINGS RD SW STE 510",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644849",
            "telephone_number": "770-875-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMINY",
        "first_name": "MANOUCHKA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "190413",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "190413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BELLERICE",
            "middle_name": "MANOUCHKA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richa Lokhande
• Harold Lollar
• Susan E. Lomax, CPNP
• Joseph P Lombardi, D.C.
• Jason Lomboy, M.D.
• Alfred M Long Jr., OD
• Byron A Long, MD
• Elaine Ying Long
• Kimberley L Long, CNM
• Lisa Long, PHARMD

• Adult Health Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.