Nancy Rae Mantini, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

TP000195A Issued in PA

Practice address

882 E Brady Rd
Cowansville, PA 16218-1316

Phone

(724) 548-5605

Fax

(724) 543-7425

NPI assigned

Nov 28, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1790768398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 WATER ST",
            "city": "MANORVILLE",
            "state": "PA",
            "postal_code": "16238",
            "telephone_number": "724-763-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 E BRADY RD",
            "city": "COWANSVILLE",
            "state": "PA",
            "postal_code": "162181316",
            "telephone_number": "724-548-5605",
            "fax_number": "724-543-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTINI",
        "first_name": "NANCY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "TP000195A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Vogan MD PC
• Clifford Vogan, M.D., P.C.
• Sandra Kapp Kapp, BOCPD
• Terry Allen Knepshield, PAC

• All providers in Cowansville, PA
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.