Active NPI
Donna Boone Manuel, APN
- Family Nurse Practitioner
- Belmont, NC
National Provider Identifier
1760477152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5101080
- Practice address
- 6750 W Wilkinson Blvd
Belmont, NC 28012-6202 - Phone
- (866) 389-2727
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5101080 | NC | Primary |
Addresses
Primary practice location
6750 W Wilkinson Blvd
Belmont, NC 28012-6202
Mailing address
6750 W Wilkinson Blvd
Belmont, NC 28012-6202
Phone (866) 389-2727
Other practice location 1
7160 Smoke Ranch Rd
Las Vegas, NV 89128-1117
Phone (702) 254-8900
Other practice location 2
1393 Celanese Rd
Rock Hill, SC 29732-1722
Phone (803) 329-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111118000569 | SC | Practitioner - Nurse Practitioner | 1759308562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101080 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760477152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 W WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126202",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126202",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "7160 Smoke Ranch Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891281117",
"country_code": "US",
"telephone_number": "702-254-8900",
"fax_number": "702-254-8936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1393 Celanese Rd",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321722",
"country_code": "US",
"telephone_number": "803-329-3103",
"fax_number": "803-329-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "DONNA",
"middle_name": "BOONE",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5101080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.