Individual provider Active NPI

Donna Boone Manuel, APN

  • Family Nurse Practitioner
  • Belmont, NC
National Provider Identifier
1760477152
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5101080 Issued in NC
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000569 SC Practitioner - Nurse Practitioner 1759308562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5101080NCMDFamily 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

Verify at the official NPI Registry.