Andrea K Manzer, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

142336-30 Issued in WI

Practice address

303 Elm Street
Communtiy Health
Odanah, WI 54861

Phone

(715) 682-7111

Fax

(715) 685-7857

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea K Lamerand Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

  • Federally Qualified Health Center (FQHC)
  • Ashland, WI
  • NPI 1699701375
  NPD (past)
• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ashland, WI
  • NPI 1780702829
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1639469760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "BAD RIVER CLINIC BILLING OFFICE",
            "city": "ODANAH",
            "state": "WI",
            "postal_code": "548610250",
            "telephone_number": "715-685-7858",
            "fax_number": "715-685-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ELM STREET",
            "address_2": "COMMUNTIY HEALTH",
            "city": "ODANAH",
            "state": "WI",
            "postal_code": "54861",
            "telephone_number": "715-682-7111",
            "fax_number": "715-685-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZER",
        "first_name": "ANDREA",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WI",
            "license": "142336-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LAMERAND",
            "middle_name": "K",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bad River Band of Lake Superior Tribe of Chippewa Indians
• Bad River Health Clinic
• Bad River Social & Family Services
• Kim Marie Ford
• Carissa Livingston
• Dennis James Sullivan Jr., M.D.
• Jamie Lynne Welch, RDH

• All providers in Odanah, WI
• Community Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.