Active NPI
Manyseng Sounthone, LVN
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1881158905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 701450
- Practice address
- 1310 M St
Fresno, CA 93721-1808 - Phone
- (559) 264-2700
- Fax
- (559) 264-2767
- NPI assigned
- Jan 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 701450 | CA | Primary |
Addresses
Primary practice location
1310 M St
Fresno, CA 93721-1808
Mailing address
2680 S. Martin Luther King Jr. Blvd
Fresno, CA 93706
Phone (559) 801-5877
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 701450 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1881158905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 S. MARTIN LUTHER KING JR. BLVD",
"city": "FRESNO",
"state": "CA",
"postal_code": "93706",
"telephone_number": "559-801-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211808",
"telephone_number": "559-264-2700",
"fax_number": "559-264-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUNTHONE",
"first_name": "MANYSENG",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "701450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.