Katherine Louise Manley, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

24919 Issued in TN

Practice address

79 Highway 51 S
Ripley, TN 38063-4580

Phone

(731) 635-8189

Fax

(731) 635-8121

NPI assigned

Oct 11, 2018

Last updated

Jul 1, 2021By 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 names 1

• Miss Katie Louise Manley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1962977389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HIGHWAY 51 S",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380634580",
            "telephone_number": "731-635-8189",
            "fax_number": "731-635-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HIGHWAY 51 S",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380634580",
            "telephone_number": "731-635-8189",
            "fax_number": "731-635-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "24919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MANLEY",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• LD&H Specialized Care Services
• John David Lovely, LPC-MHSP (TEMP)
• Racheal Ann Lumley
• Ashley Rebecca Luttrell, RN
• Madison Maners, MOT
• Carol Manns
• Kristen Martin, PA
• Nicole G Martin, PHARM.D.
• Cynthia M. Mashburn, APRN, BC, FNP
• Mays-Dunavant Drugs Inc

• Pediatric Nurse Practitioner in Ripley, TN
• Providers in Ripley, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.