Amy Kurian Manfredo, APRN-CNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

R85919 Issued in OK

Practice address

1200 Everett Dr
7TH Floor, North Pavilion
Oklahoma City, OK 73104-5047

Phone

(405) 271-5215

NPI assigned

Feb 16, 2012

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

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.

• Pediatrix Medical Group of Oklahoma, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Oklahoma City, OK
  • NPI 1316044027
  NPD (past)

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1720351067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13113 BOX CANYON RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731426203",
            "telephone_number": "405-863-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EVERETT DR",
            "address_2": "7TH FLOOR, NORTH PAVILION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045047",
            "telephone_number": "405-271-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDO",
        "first_name": "AMY",
        "middle_name": "KURIAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OK",
            "license": "R85919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romeo Ang Mandanas, M.D.
• Ericca Mandelkow, PTA
• Cecilia Mandewo
• Amanda Mandrell, B.A., BHRS, BHCM II
• Gerta Mane, M.D.
• Joseph Kurian Manfredo
• Ashley Annette Manges
• Christian Mangrum, D.O.
• Sonja K Mangrum, MOT,OTR/L
• Dale Brian Mangus, COTA/L

• Neonatal Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neonatal Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.