Active NPI
Susan W Manchester
- Health Information Specialist/Technologist
- Jacksonville, FL
National Provider Identifier
1689650582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Specialist/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991314900 | Medicaid | FL |
Other names 1
- Manchester Medical Billing
National Provider Directory
National Provider DirectoryNPI 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.