Kylee Jace Manning

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1828 Parkway Dr
Moore, OK 73160-8132

Phone

(405) 308-8502

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1780447383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 PARKWAY DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608132",
            "telephone_number": "405-308-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 PARKWAY DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731608132",
            "telephone_number": "405-308-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KYLEE",
        "middle_name": "JACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahant Dental PLLC
• James Harry Maher Jr., MD
• Emily Morgan Maixner, PHD
• Ryan Thomas Major, MD
• Kara Von Manke Young, MS, CCC-SLP
• Mariposa Counseling, Inc.
• Casey L Markland, MD
• Sandra K Marks, LPC
• Destiny Ann Marrs, RN
• Brook Marie Martin

• Peer Specialist in Moore, OK
• Providers in Moore, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.