JODY MANNERS (NPI# 1962821967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962821967 |
| Entity Type | Individual |
| Full Name | JODY MANNERS |
| Practice Address |
620 John Paul Jones Cir # 2e Portsmouth VA 23708 |
| Mailing Address |
620 John Paul Jones Cir # 2e Portsmouth VA 23708-2111 |
| Practice Telephone | 7579537952 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD464206 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
620 JOHN PAUL JONES CIR # 2E |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
| 1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
| 1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
| 1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
| 1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
| 1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
| 1629324058 | Nadia M. Yousefinejad | Dentist | 720 John Paul Jones Circle, Portsmouth, VA 23708 | 2012-08-03 |
| Find all providers in zip 23708 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225343742 | Karen P. Lauze, LLC | Psychiatry & Neurology | 875 Greenland Rd Suite B4, Portsmouth, NH 03801 | 2010-08-09 |
| 1093998676 | Randy Kozel Md | Psychiatry & Neurology | 112 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2007-12-06 |
| 1619178621 | Angela Rackley | Psychiatry & Neurology | 1711 27th St Ste 103a, Portsmouth, OH 45662-2654 | 2007-05-29 |
| 1043269434 | Augusto C Juguilon | Psychiatry & Neurology | 1711 27th St # 103a, Portsmouth, OH 45662-2654 | 2006-05-10 |
| 1376539098 | Patricia A Locuratolo | Psychiatry & Neurology | 875 Greenland Rd, Suite B4-5, Portsmouth, NH 03801-4164 | 2005-09-27 |
| 1699775486 | Randy B Kozel | Psychiatry & Neurology | 112 Clock Tower Square, Portsmouth, RI 02871-1365 | 2005-07-22 |
| 1598762551 | Grace A. Medeiros | Psychiatry & Neurology | 2444 E Main Rd, Portsmouth, RI 02871-4025 | 2005-07-06 |
| 1396199105 | Stephen Nnodim Jr. | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-04-18 |
| 1740675503 | Sarah Emily Woodson Smith | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-03-30 |
| 1588088769 | Aaron Daley | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2014-02-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23708 |
Please comment or provide details below to improve the information on JODY MANNERS.
| 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.