Individual provider Active NPI

Teresa M Manlove, C.N.M.

  • Advanced Practice Midwife
  • Sedalia, MO
National Provider Identifier
1649212655
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2009012360 Issued in MO
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

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN2009012360MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.