Roxane Lisa Mannino, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

2722 Issued in NC

Practice address

4702 Arendell St
Morehead City, NC 28557-2704

Phone

(252) 349-3066

NPI assigned

Feb 1, 2011

Last updated

Feb 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1679879068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702C ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572704",
            "telephone_number": "252-349-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572704",
            "telephone_number": "252-349-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "ROXANE",
        "middle_name": "LISA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2722",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "NC",
            "license": "2722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Grace Lyon
• Kelly Cross Mabolo, M.S. CCC-SLP
• Joseph Franklin Maides Jr., D.O.
• Sonya Mamoozadeh, DNP, APRN
• Adam Keith Manning
• Brandon Thomas Maples, DPT
• Marcelo R Perez-Montes MD PA (PrimeCare Medical Clinic)
• Rocio Marciales
• Mark Besen PHD Psychological Services PLLC
• Jeane Marsh, M.D.

• Specialist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.