Individual provider Active NPI

Marie Jane Carrier-Manley, MS FNP

  • Family Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1831230234
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
169556 Issued in MA
Practice address
1045 Main St FL 1
Holyoke, MA 01040-5373
Phone
(413) 540-1100
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 169556 MA Primary

Addresses

Primary practice location

1045 Main St FL 1
Holyoke, MA 01040-5373

Mailing address

PO Box 791
Holyoke, MA 01041-0791
Phone (413) 540-1100

Other practice location 1

319 Beech St
1916 northampton street
Holyoke, MA 01040-3925
Phone (413) 540-1155

Other practice location 2

1916 Northampton St Fl 1
Holyoke, MA 01040-3412
Phone (413) 540-1100

Other practice location 3

500 Beech St
Holyoke, MA 01040-2202
Phone (413) 540-1100

Other identifiers 2

IdentifierTypeStateIssuer
169556OtherMANP LICENSE
0322016-22OtherMANP CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220318001198 MA Practitioner - Nurse Practitioner 3870988322 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169556MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc CurrentSince Dec 21, 2021 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
River Valley Counseling Center, Inc CurrentSince Mar 12, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

1916 Northampton St
Holyoke, MA 01040
Phone (413) 534-2102

319 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

1045 Main St
Fl 1
Holyoke, MA 01040

1916 Northampton St
Fl 1
Holyoke, MA 01040

500 Beech St
Holyoke, MA 01040
Phone (413) 493-1640

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 6

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1831230234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010410791",
            "telephone_number": "413-540-1100",
            "fax_number": "413-533-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MAIN ST FL 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405373",
            "telephone_number": "413-540-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Beech St",
            "address_2": "1916 northampton street",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010403925",
            "country_code": "US",
            "telephone_number": "413-540-1155",
            "fax_number": "413-533-1016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1916 Northampton St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010403412",
            "country_code": "US",
            "telephone_number": "413-540-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010402202",
            "country_code": "US",
            "telephone_number": "413-540-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIER-MANLEY",
        "first_name": "MARIE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MS   FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "169556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "169556",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP CERTIFICATION NUMBER",
            "identifier": "0322016-22",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.