KIM MARIE MANUEL ARNP NPI 1972937746

NPI Information

NPI: 1972937746
Provider Name: KIM MARIE MANUEL, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: NEPTUNE BEACH SURGICAL SPECIALISTS LLC

PECOS Registration: Yes

Address:
580 W 8TH ST
UFJAX - DEPT. OF NEUROLOGY
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-7008
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Kim Marie Manuel, ARNP is an adult health nurse practitioner in Jacksonville, FL with 11 years of experience. Kim Marie Manuel, ARNP NPI is 1972937746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

580 W 8TH ST
UFJAX - DEPT. OF NEUROLOGY
JACKSONVILLE, FL
ZIP 32209-533
Phone: (904) 244-7008
Fax: (904) 244-9789

The NPI 1972937746 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 8/28/2013 and was last updated on 9/29/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	ARNP9171791	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003137439B	MEDICAID	GEORGIA
2	HN892Z	MEDICARE UPIN	FLORIDA
3	009463500	MEDICAID	FLORIDA
4	HN892Y	MEDICARE PIN	FLORIDA
5	003137439A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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