Individual provider Active NPI

Patty McManamee, CNS, LDN

  • Nutritionist
  • Potomac, MD
National Provider Identifier
1780373472
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4986 Issued in MD
Practice address
11325 Seven Locks Rd Ste 290
Potomac, MD 20854-3235
Phone
(626) 318-4948
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X DX4986 MD Primary

Addresses

Primary practice location

11325 Seven Locks Rd Ste 290
Potomac, MD 20854-3235

Mailing address

206 Vierling Dr
Silver Spring, MD 20904-1014
Phone (626) 318-4948

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)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
DX4986MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1780373472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 VIERLING DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041014",
            "telephone_number": "626-318-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 290",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543235",
            "telephone_number": "626-318-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANAMEE",
        "first_name": "PATTY",
        "credential": "CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.