Active NPI
Kelly McManus
- Audiologist
- New Bern, NC
National Provider Identifier
1972059525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 13356
- Practice address
- 2111 Neuse Blvd Ste I
New Bern, NC 28560-4318 - Phone
- (252) 635-5005
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 13356 | NC | MD | Professional Counselor |
| 002649 | NY | MD | Marriage & Family Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 002649 | NY | |
| Audiologist | 231H00000X | 13356 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2111 Neuse Blvd Ste I
New Bern, NC 28560-4318
Mailing address
26409 Lynn Cir
Calcium, NY 13616-2179
Other names 1
NPPES NPI Registry- Kelly Hemmingway
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2019.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1972059525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26409 LYNN CIR",
"city": "CALCIUM",
"state": "NY",
"postal_code": "136162179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 NEUSE BLVD STE I",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604318",
"telephone_number": "252-635-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "002649",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "13356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HEMMINGWAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.