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ANNE KENNEALEY-MCMANUS NP RN NPI 1811976749


NPI Information

NPI: 1811976749
Provider Name: ANNE KENNEALEY-MCMANUS, NP, RN
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1153 CENTRE ST
FAULKNER BREAST CENTRE
BOSTON, MA
ZIP 02130
Phone: (617) 983-7773
Get Directions

Anne Kennealey-mcmanus, NP, RN is a clinical nurse specialist in Boston, MA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Anne Kennealey-mcmanus, NP, RN NPI is 1811976749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1153 CENTRE ST
FAULKNER BREAST CENTRE
BOSTON, MA
ZIP 02130-446
Phone: (617) 983-7773
Fax: (617) 983-7779

The NPI 1811976749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 2/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse Specialist100002MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10387100MEDICAIDMASSACHUSETTS
2NP4384MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.