Individual provider Active NPI

Anne Pauline Manney, M.A., CCC,A

  • Audiologist
  • Leominster, MA
National Provider Identifier
1740301324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
132 Issued in MA
Practice address
50 Memorial Dr
Suite 212
Leominster, MA 01453-2238
Phone
(978) 537-8377
Fax
(978) 534-2334
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 132 MA Primary

Addresses

Primary practice location

50 Memorial Dr
Suite 212
Leominster, MA 01453-2238

Mailing address

260 New Ipswich Rd
Ashby, MA 01431-1824
Phone (978) 386-5579

Other identifiers 1

IdentifierTypeStateIssuer
AD0099OtherMABCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140205000109 MA Practitioner - Qualified Audiologist 6305075763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
132MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Medical Group Inc. CurrentSince May 28, 2024 Accepting new patients
Heywood Medical Group Inc CurrentSince May 28, 2024 Accepting new patients
Cheong H. Kim, MD, Inc. Past Accepting new patients

Locations

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

22 South St
Westminster, MA 01473
Phone (978) 874-6427

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740301324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW IPSWICH RD",
            "city": "ASHBY",
            "state": "MA",
            "postal_code": "014311824",
            "telephone_number": "978-386-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL DR",
            "address_2": "SUITE 212",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532238",
            "telephone_number": "978-537-8377",
            "fax_number": "978-534-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEY",
        "first_name": "ANNE",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC,A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "AD0099",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.