Individual provider Active NPI

Karen Lee Manchester, FNP-C

  • Family Nurse Practitioner
  • Valley Center, CA
National Provider Identifier
1801225941
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20883 Issued in CA
Practice address
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone
(760) 479-1410
Fax
(760) 749-2151
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 20883 CA Primary

Addresses

Primary practice location

50100 Golsh Rd
Valley Center, CA 92082-5338

Mailing address

PO Box 406
Pauma Valley, CA 92061-0406
Phone (760) 749-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116002179 CA Practitioner - Nurse Practitioner 2365831112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1955 Citracado Pkwy
Suite 302
Escondido, CA 92029-4111

1955 Citracado Pkwy
Suite 302
Escondido, CA 92029-4113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners, Inc Family CurrentSince Oct 1, 2021 Accepting new patients

Locations

1955 Citracado Pkwy
Ste 302
Escondido, CA 92029
Phone (760) 233-1896

2125 Citracado Pkwy
Ste 110
Escondido, CA 92029
Phone (760) 735-7800

1955 Citracado Pkwy
Ste 200
Escondido, CA 92029
Phone (760) 489-1355

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

120 Craven Rd
Ste 101
San Marcos, CA 92078
Phone (760) 591-0955

Interoperability endpoints

  • Direct secure messaging: karen.manchester.p1@direct.arch.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1801225941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920610406",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-479-1410",
            "fax_number": "760-749-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "KAREN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.