Active NPI
Anne Rowena Manalang, FNP
- Family Nurse Practitioner
- Aurora, IL
National Provider Identifier
1669814364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209010369
- Practice address
- 2116 W Galena Blvd
Suite 112
Aurora, IL 60506-3533 - Phone
- (630) 897-1895
- Fax
- (630) 897-2043
- NPI assigned
- Jul 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010369 | IL | Primary |
Addresses
Primary practice location
2116 W Galena Blvd
Suite 112
Aurora, IL 60506-3533
Mailing address
742 Essington Rd
Joliet, IL 60435-4912
Phone (630) 897-1895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010369 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olson Chiropractic, Inc. | Past | Accepting new patients | |
| Pure Health Physical Medicine, LLC | Family | 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.
-
- Chiropractor
- Aurora, IL
- NPI 1932292992
-
- Family Medicine Physician
- Aurora, IL
- NPI 1134466162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564272000000",
"number": "1669814364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 ESSINGTON RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604354912",
"telephone_number": "630-897-1895",
"fax_number": "630-897-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 W GALENA BLVD",
"address_2": "SUITE 112",
"city": "AURORA",
"state": "IL",
"postal_code": "605063533",
"telephone_number": "630-897-1895",
"fax_number": "630-897-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALANG",
"first_name": "ANNE",
"middle_name": "ROWENA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2019-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.