Active NPI
Anne Pauline Manney, M.A., CCC,A
- Audiologist
- Leominster, MA
National Provider Identifier
1740301324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 132
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD0099 | Other | MA | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 132 | MA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heywood Medical Group Inc. | Current | Accepting new patients | |
| Heywood Medical Group Inc | Current | 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
- 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.
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- NPI 1083819098
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.