Kathleen Manley

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

195500-3101 Issued in UT

Practice address

763 N 1650 W
Springville, UT 84663-5066

Phone

(801) 704-1373

Fax

(801) 704-1408

NPI assigned

Nov 5, 2018

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

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1750859161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 N 1650 W",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 N 1650 W",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846635066",
            "telephone_number": "801-704-1373",
            "fax_number": "801-704-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "195500-3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Kelly Soutas DMD PC
• Megan Faye Macalupu
• Vhari Macbeth
• Carlie Primrose Macias, RN, BSN
• Kyle Patterson Mammen
• John W Manwaring, PA
• Maple Creek Home Health and Hospice
• Maple Creek Home Health and Hospice
• Maple Ridge Chiropractic & Massage
• James Michael Marcum, MD

• Licensed Practical Nurse in Springville, UT
• Providers in Springville, UT by specialty
• Licensed Practical Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.