MISS AUDREY MANIS (NPI# 1972959187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972959187 |
| Entity Type | Individual |
| Full Name | MISS AUDREY MANIS |
| Credential | MT-BC |
| Practice Address |
1205 Applegate Ln Clarksville IN 47129-9608 |
| Mailing Address |
1483 Saint James Ct Louisville KY 40208-2145 |
| Practice Telephone | 8122838383 |
| Mailing Telephone | 9315812129 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 12362 | IN | Other Service Providers |
| Street Address |
1205 APPLEGATE LN |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548286800 | Patricia Unger Pernicano | Psychologist | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2006-07-13 |
| 1790301125 | Jasmine Lashun Grier | Counselor | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2020-06-22 |
| 1740744069 | Laura Ashley Barclay | Marriage & Family Therapist | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2019-01-31 |
| 1194171306 | Phoebe C Bell | Contractor | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2016-05-05 |
| 1326410077 | Jeni Strednak | Marriage & Family Therapist | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2015-10-21 |
| 1265742969 | Mary-margaret Hornsby | Psychologist | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2010-10-15 |
| 1679802771 | Carrie Joy Pelc | Counselor | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2009-12-18 |
| 1477739001 | Bonnie Sue Doan | Social Worker | 1205 Applegate Ln, Clarksville, IN 47129-9608 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740761949 | Anita Camille Henderson | Specialist | 718 Valencia Dr, Clarksville, TN 37043-2058 | 2018-08-24 |
| 1871006924 | Jama'l Oliver | Specialist | 2038 Tynewood Dr, Clarksville, TN 37042-5285 | 2017-11-12 |
| 1982944229 | Ronald Howard Farkas | Specialist | 12040 Misty Rise Ct, Clarksville, MD 21029-1256 | 2013-02-24 |
| 1053519421 | Tommy R. Tigar, M.d., Inc. | Specialist | 341 E. Main Street, Clarksville, OH 45113 | 2007-07-06 |
| 1740483767 | Timothy K Duffin Md Plc | Specialist | 800 Weatherly Drive, 100-l, Clarksville, TN 37043-4521 | 2007-06-07 |
| 1629195557 | Mary Dueker | Specialist | 2149 Allendale Dr, Clarksville, TN 37043-4431 | 2007-03-24 |
| 1326192683 | Lorna Lewis Faulk | Specialist | 225 E Meadow Cir, Clarksville, TN 37043-5039 | 2007-01-23 |
| 1063571917 | Frances W Schoonover | Specialist | 6412 Western Star Run, Clarksville, MD 21029-1247 | 2006-12-06 |
| 1548328776 | W, Stanford Blalock, Md, Plc | Specialist | 279 Clear Sky Ct Unit 3, Clarksville, TN 37043-5653 | 2006-12-04 |
| 1821163056 | Neurology and Neuromuscular Center Plc | Specialist | 219 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8844 | 2006-11-22 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on MISS AUDREY MANIS.
| 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.