Active NPI
Teresa M Manlove, C.N.M.
- Advanced Practice Midwife
- Sedalia, MO
National Provider Identifier
1649212655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN2009012360
- Practice address
- 1718 S Ingram Ave
Suite a
Sedalia, MO 65301-7505 - Phone
- (660) 827-0015
- Fax
- (660) 827-5490
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 111249 | IA | |
| Advanced Practice Midwife | 367A00000X | RN2009012360 | MO | Primary |
Addresses
Primary practice location
1718 S Ingram Ave
Suite a
Sedalia, MO 65301-7505
Mailing address
100 Brewster Blvd
Camp Lejeune, NC
Camp Lejeune, NC 28547-2538
Phone (910) 450-4159
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2009012360 | MO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothwell Regional Health Center | Past | Accepting new patients | |
| Metro OB GYN LLC | Advanced Practice Midwife | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cole Camp Clinic
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
-
- Obstetrics & Gynecology Physician
- Council Bluffs, IA
- NPI 1770501132
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1649212655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"address_2": "CAMP LEJEUNE, NC",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-4159",
"fax_number": "910-450-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 S INGRAM AVE",
"address_2": "SUITE A",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653017505",
"telephone_number": "660-827-0015",
"fax_number": "660-827-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLOVE",
"first_name": "TERESA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IA",
"license": "111249",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MO",
"license": "RN2009012360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedalia, MO
- Luxottica Retail North America Inc (Pearle Vision #C6210)
- Beth M Lyles, M.S. CCC-SLP
- M D Kempf Corporation (Psychiatric Services)
- Kimberly Mabry, CERTIFIED HEALTH COA
- Mary Malan, RPH
- Whitney Morgan Marcum, FNP-BC
- Henry C. Marquez, M.D.
- Marsha Jane Kranichfield (LifeSupport Interventions)
- Martin Group Care Home
- Joann Martin, APRN, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.