Active NPI
Elizabeth Manley, RNCS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Pinehurst, NC
National Provider Identifier
1760428411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 78715
- Practice address
- 35 Memorial Dr
Pinehurst, NC 28374-8708 - Phone
- (910) 715-3371
- Fax
- (910) 715-2435
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 78715 | NC | Primary |
Addresses
Primary practice location
35 Memorial Dr
Pinehurst, NC 28374-8708
Mailing address
PO Box 843425
Boston, MA 02284-3425
Phone (910) 715-3371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004007 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78715 | NC | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1760428411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843425",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843425",
"telephone_number": "910-715-3371",
"fax_number": "910-715-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748708",
"telephone_number": "910-715-3371",
"fax_number": "910-715-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "ELIZABETH",
"credential": "RNCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NC",
"license": "78715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004007",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.