Catherine Manus

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

370295 Issued in NM

Practice address

Hwy 64 Old High School Road
1199
Shiprock, NM 87420-1199

Phone

(505) 368-5163

Fax

(505) 368-5502

NPI assigned

Dec 29, 2016

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

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 and National Provider Directory roles.

• Central Consolidated School District

  • Public Health or Welfare Agency
  • Shiprock, NM
  • NPI 1023795192
  NPD (past)

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1679018683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201199",
            "telephone_number": "505-368-5163",
            "fax_number": "505-368-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 64 OLD HIGH SCHOOL ROAD",
            "address_2": "1199",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201199",
            "telephone_number": "505-368-5163",
            "fax_number": "505-368-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUS",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "370295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie J. Malone, RN, BSN, MSN, PHD
• Jennifer Michelle Manning, OTR/L, CHT
• Stephanie L Manning
• Sara Jean Mantick, PHARMD
• Sarah Manuelito, RADIOLOGIC TECHNOLOG
• Corina M. Martinez, MA
• Jaime Martinez, D.D.S
• Janice Kaye Martinez, BSCMS
• Kimberly Martocci, OD
• Barbara Ann Massey, OD

• Licensed Practical Nurse in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.