Grace Manago

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

License

835448 Issued in NV

Practice address

7375 Prairie Falcon Rd Ste 120
Las Vegas, NV 89128-0810

Phone

(702) 869-4401

Fax

(702) 869-9904

NPI assigned

Jul 30, 2021

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)

Not enrolled

State licenses

Practice roles

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.

• Spring Mountain Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1447257456
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1861165201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAGO",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NV",
            "license": "835448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derick Ian Becios Manabat
• Ellaine Manabat, MSN, APRN, PMHNP-BC
• Irma Ocampo Manabat
• Matthew Lorenz Becios Manabat
• Paul Taggart Manabat, PHARMD
• Marissa Manago
• Ilir Manaj, NP
• Eufemio Manalac Jr
• Generose Laranang Manalac, FNP-BC
• Susan Mamangun Manalac

• Registered Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.