Organization Active NPI

Susan W Manchester

  • Health Information Specialist/Technologist
  • Jacksonville, FL
National Provider Identifier
1689650582
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Information Specialist/TechnologistTaxonomy code 246Y00000X
Legal business name
SUSAN W MANCHESTER
Practice address
7762 Pikes Peak Dr
Jacksonville, FL 32244-6439
Phone
(904) 777-5002
Fax
(904) 779-7184
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Susan Manchester
Title
Owner
Phone
(904) 777-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Y00000X Primary

Addresses

Primary practice location

7762 Pikes Peak Dr
Jacksonville, FL 32244-6439

Mailing address

7762 Pikes Peak Dr
Jacksonville, FL 32244-6439
Phone (904) 777-5002

Other identifiers 1

IdentifierTypeStateIssuer
991314900MedicaidFL

Other names 1

  • Manchester Medical Billing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1689650582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 PIKES PEAK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446439",
            "telephone_number": "904-777-5002",
            "fax_number": "904-779-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 PIKES PEAK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446439",
            "telephone_number": "904-777-5002",
            "fax_number": "904-779-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN W MANCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "MANCHESTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-777-5002"
    },
    "taxonomies": [
        {
            "code": "246Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991314900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Medical Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; 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.