Caroline Manfredo

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1026 W Abriendo Ave
Pueblo, CO 81004-1128

Phone

(719) 562-3222

Fax

(719) 545-4100

NPI assigned

Mar 30, 2009

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

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1710129259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011851",
            "telephone_number": "719-562-3222",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W ABRIENDO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041128",
            "telephone_number": "719-562-3222",
            "fax_number": "719-545-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDO",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Mallon, MD
• Holly Maloy, M.D.
• Seana Marie Maltezo, NP
• Aruniti Manawa, DO
• Michael Mandrell, M.D.
• Robert Louis Manguso, M.D.
• Rose M. Manguso, PH.D.
• Michael J Manley
• Amber Mann, COTA/L
• Roger Charles Mann, M.D.

• All providers in Pueblo, CO
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.