CANDRA MANLEY (NPI# 1316482185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316482185 |
| Entity Type | Individual |
| Full Name | CANDRA MANLEY |
| Practice Address |
4880 Ne Goodview Cir Lees Summit MO 64064-1996 |
| Mailing Address |
3340 Ne Ralph Powell Rd Suite B Lees Summit MO 64064-2368 |
| Practice Telephone | 8168752599 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2016039169 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4880 NE GOODVIEW CIR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201599 | Mark Owen Covington | Otolaryngology | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2006-07-21 |
| 1255959771 | Madison Marie Larson | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2020-07-10 |
| 1083241699 | Christa Hoover | Physician Assistant | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2020-03-24 |
| 1508413279 | Abigail Dinkel | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-19 |
| 1538714696 | Lorann Brown | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-06 |
| 1689229809 | Carly Shaw | Nurse Practitioner | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-05 |
| 1174001457 | Teresa Burns | Speech-Language Pathologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2018-07-30 |
| 1760912018 | Julie Bangert | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-19 |
| 1033649306 | Allison Peter | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-19 |
| 1295265973 | Kelsey Nicole Breedlove | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830872 | Sarah Ann Payne | Nurse Practitioner | 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 | 2020-01-20 |
| 1437684560 | Susan Root | Nurse Practitioner | 3066 Sw Grandstand Cir, Lees Summit, MO 64081-3866 | 2017-04-26 |
| 1174879282 | Kieron James Broderick | Nurse Practitioner | 20 Ne Saint Lukes Blvd, Suite 200, Lees Summit, MO 64086-6001 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1841897394 | Lara Kang | Nurse Practitioner | 7354 S Yorkshire Dr, Saint Louis, MO 63123-2111 | 2020-10-07 |
| 1124634373 | Taylor Eckhoff | Nurse Practitioner | 2733 Gillham Rd Apt 1n, Kansas City, MO 64108-3136 | 2020-09-22 |
| 1417566142 | Thomas J Smith | Nurse Practitioner | 803 Rena St, Kirksville, MO 63501-2012 | 2020-07-28 |
| 1063039311 | Gavin Lee Flentge | Nurse Practitioner | 5658 Hwy E, Perryville, MO 63775-8405 | 2020-07-02 |
| 1134755911 | Corey Allen Blassie | Nurse Practitioner | 122 Heron Ct, Saint Peters, MO 63376-5038 | 2020-03-12 |
| 1851926638 | Deborah J Thomson-diaz | Nurse Practitioner | 15357 Lovers Ln, Excelsior Springs, MO 64024-8517 | 2020-03-11 |
| 1104459833 | Zakiya S Clemoens | Nurse Practitioner | 629 W 101st Ter, Kansas City, MO 64114-4236 | 2020-02-21 |
| 1265064703 | Kelsey Elizabeth Ortmann | Nurse Practitioner | 4962 Tyrolean Ave, Saint Louis, MO 63109-3760 | 2020-02-11 |
| 1730725987 | Chelsea Amack | Nurse Practitioner | 9011 N Byfield Ave, Kansas City, MO 64154-1838 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on CANDRA MANLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.