Active NPI
Laura Jean McManus, MA, RDN, CDN, CLC
- Registered Dietitian
- Marcellus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008037
- Practice address
- 14 Flower LN
Marcellus, NY 13108-1326 - Phone
- (315) 380-4787
- NPI assigned
- May 31, 2018
- Last updated
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008037 | NY | Primary |
Addresses
Primary practice location
14 Flower LN
Marcellus, NY 13108-1326
Mailing address
14 Flower LN
Marcellus, NY 13108-1326
Phone (315) 380-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 E Main St
Suite E
Marcellus, NY 13108-1206
Phone (315) 221-4881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietitians of Northern New York, PLLC. | Dietitian, Registered | Current | Accepting new patients |
Locations
24 E Main St
Ste E
Marcellus, NY 13108
Phone (315) 221-4881
415 Sherman St
Watertown, NY 13601
Phone (315) 221-4881
Organizations & group practices 1
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.
-
dba Dietitians of Northern New York
- Registered Dietitian
- Watertown, NY
- NPI 1316515208
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1881186468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 FLOWER LN",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081326",
"telephone_number": "315-380-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 FLOWER LN",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081326",
"telephone_number": "315-380-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "MA, RDN, CDN, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marcellus, NY
- Marcellus Central School District
- Marcellus Family and Cosmetic Dentistry, PC
- Marcellus Family Medicine PLLC
- Marcellus Family Medicine PLLC (Marcellus Family Medicine)
- Marcellus Medical Group PLLC
- Hazel Helen Meaney, LPN
- Andrew J Merritt, MD
- Kenneth Mitchell, PHYSICAL THERAPIST
- April M Nolan, OTR
- Margaret Schoeneck Nye, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.