Individual provider Active NPI

Lisa M Manzione, RN

  • Case Management Registered Nurse
  • Monroe, WA
National Provider Identifier
1831841204
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN00099440 Issued in WA
Practice address
13613 198TH Ave SE
Monroe, WA 98272-8415
Phone
(425) 831-7348
Fax
(425) 831-0533
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X RN00099440 WA Primary

Addresses

Primary practice location

13613 198TH Ave SE
Monroe, WA 98272-8415

Mailing address

13613 198TH Ave SE
Monroe, WA 98272-8415
Phone (425) 831-7348

Other names 1

  • Lisa M Manzione-Pillo Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00099440WAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1831841204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 198TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728415",
            "telephone_number": "425-831-7348",
            "fax_number": "425-831-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13613 198TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728415",
            "telephone_number": "425-831-7348",
            "fax_number": "425-831-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZIONE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00099440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MANZIONE-PILLO",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.