Kimberly Renee Manina, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06729 Issued in LA

Practice address

54033 Highway 1062
Suite B
Loranger, LA 70446-3538

Phone

(985) 606-2273

Fax

(985) 606-2268

NPI assigned

Jan 30, 2012

Last updated

Oct 25, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Healthcare of Loranger LLCGroup PAC ID 9133436967, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.manina.1@11757.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Healthcare of Loranger, LLC

  • Rural Health Clinic/Center
  • Loranger, LA
  • NPI 1992172621

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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

• Family Healthcare of Loranger, LLC

  • Rural Health Clinic/Center
  • Loranger, LA
  • NPI 1992172621
  Medicare reassignment Care Compare group NPD Authorized official
• 360 Therapy, LLC

  dba 360 Therapy

  • Physical Therapy Clinic/Center
  • Albany, LA
  • NPI 1992199657
  NPD (past)
• Lakeview Regional Physician Group LLC

  • Pediatrics Physician
  • Covington, LA
  • NPI 1285890467
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1851663306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54033 HIGHWAY 1062",
            "address_2": "SUITE B",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463538",
            "telephone_number": "985-606-2273",
            "fax_number": "985-606-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54033 HIGHWAY 1062",
            "address_2": "SUITE B",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463538",
            "telephone_number": "985-606-2273",
            "fax_number": "985-606-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANINA",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life-Line Health Care
• Lighthouse Ranch for Boys Inc.
• Tikesha Shalonda Lindsey, CNA
• Louisiana United Methodist Children & Family Services, Inc (Methodist Children's Home of Southeast Louisiana)
• Tuneea Magee, LMSW
• Regina Aucoin Margavio, NCC, LPC
• Leslie Anne McDaniel
• Ashleye Dunbar McElrath, MA, LPC
• Lyman Allan Mizell, NBC-HWC
• Sherie Naquin, NP

• Family Nurse Practitioner in Loranger, LA
• Providers in Loranger, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.