Joann L Manty, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

4704117730 Issued in MI

Practice address

901 Lakeshore Dr
Ishpeming, MI 49849-1367

Phone

(906) 485-2686

NPI assigned

Apr 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

Other names 1

• Joann L Juntila Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1760988992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 COUNTY ROAD PI",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498498841",
            "telephone_number": "906-486-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-485-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTY",
        "first_name": "JOANN",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MI",
            "license": "4704117730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "JUNTILA",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Maas
• Gina Macdonald
• Shahar Madjar, MD
• Marty Malcolm
• Gala Sue Malherbe, PT
• Marquette County Medical Care
• Deklan Paul Marshall
• Melanie Michelle Martin, DNP
• Mather Healthcare, LLC
• Megan Mathieu, PT, DPT

• Diabetes Educator Registered Nurse in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Diabetes Educator Registered Nurse in Michigan

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