Individual provider Active NPI

Kelly McManus

  • Audiologist
  • New Bern, NC
National Provider Identifier
1972059525
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13356 Issued in NC
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

LicenseStateTypeSpecialty
13356NCMDProfessional Counselor
002649NYMDMarriage & Family Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002649 NY
Audiologist 231H00000X 13356 NC Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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.

Verify at the official NPI Registry.