Active NPI
Sean Prescott McMannes, MAT, ATC
- Athletic Trainer
- Mesa, AZ
National Provider Identifier
1992104178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1264
- Practice address
- 4125 E McKellips Rd
Mesa, AZ 85215-2411 - Phone
- (928) 821-3497
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1264 | AZ | Primary |
Addresses
Primary practice location
4125 E McKellips Rd
Mesa, AZ 85215-2411
Mailing address
2160 S Linmar CT
Flagstaff, AZ 86001-2923
Phone (928) 821-3497
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 |
|---|---|---|---|
| 1264 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1992104178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S LINMAR CT",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860012923",
"telephone_number": "928-821-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 E MCKELLIPS RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852152411",
"telephone_number": "928-821-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANNES",
"first_name": "SEAN",
"middle_name": "PRESCOTT",
"credential": "MAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.