Active NPI
Natalie Cornay Manalo, M.D.
- Neurology Physician
- Fort Wayne, IN
National Provider Identifier
1992091656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01078288A
- Practice address
- 7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 436-2416
- NPI assigned
- Jun 21, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036.137858 | IL | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 01078288A | IN | |
| Neurology Physician | 2084N0400X | 01078288A | IN | Primary |
Addresses
Primary practice location
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 436-2416
Other names 1
- Natalie Anne Cornay
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.137858 | IL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1992091656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-436-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-436-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALO",
"first_name": "NATALIE",
"middle_name": "CORNAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.137858",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IN",
"license": "01078288A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01078288A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "CORNAY",
"middle_name": "ANNE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.