Shelley A Manning

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-006630 Issued in IL

Practice address

414 W Hunter LN
Minooka, IL 60447-4519

Phone

(815) 474-2146

Fax

(815) 290-5133

NPI assigned

Feb 9, 2007

Last updated

Aug 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shelley a Manning LTD

  • Speech-Language Pathologist
  • Minooka, IL
  • NPI 1275926107
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1659412195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604470017",
            "telephone_number": "815-474-2146",
            "fax_number": "815-290-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W HUNTER LN",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474519",
            "telephone_number": "815-474-2146",
            "fax_number": "815-290-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-006630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12046398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Leshock
• Celina Lewis, OD
• Liberty Medical Center of Minooka, SC
• Jessica Magana
• Shital Manek, PHARM D
• Joann Lynn Maruszak, D.C.
• Audrey L Mascitti
• Carrie E McCarthy, M.S. CCC-SLP/L
• Amanda McCleary
• James Dale McGehee, DDS

• Speech-Language Pathologist in Minooka, IL
• Providers in Minooka, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.