Kaitlyn Mannon, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

26NR13613100 Issued in NJ

Practice address

100 Federal City Rd Ste C-103
Lawrenceville, NJ 08648-1664

Phone

(609) 917-7733

Fax

(609) 917-7731

NPI assigned

Nov 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oak Ridge Healthcare Resources LLC

  • Home Health Agency
  • Lawrenceville, NJ
  • NPI 1790430924
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1992415244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD STE C-103",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-917-7733",
            "fax_number": "609-917-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FEDERAL CITY RD STE C-103",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481664",
            "telephone_number": "609-917-7733",
            "fax_number": "609-917-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNON",
        "first_name": "KAITLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "26NR13613100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmannon@interimhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "IHC Mercer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Federal City Rd Ste C-103",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086481664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandon Makres, ATC
• Lon Maletta, PH.D.
• Joshua Mali, M.D.
• Frederic J Mallen, M.D.
• Jeffrey S Mannheimer, PHD, PT
• Theresa Marcantino
• Nadia Marcelin, APN
• Nicole Marcus, MS CCC/SLP
• Mark S. Sofair-Fisch, PHD
• Ruth Markoe, MS,CCC/SLP

• Home Health Registered Nurse in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Home Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.