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THERESA MANNING APRN
NPI 1417079922
Nurse Practitioner in Somerville, MA

Active since April 04, 2007
120 BEACON ST STE 202, HOUSE CALL PROGRAM, SOMERVILLE, MA 02143(617) 868-6323 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Manning Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA MANNING APRN (NPI 1417079922) is an individual nurse practitioner in Somerville, Massachusetts, licensed in Massachusetts (192595) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1417079922
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA MANNINGCredential: APRN
Location Address120 BEACON ST STE 202, HOUSE CALL PROGRAMSomerville, MA 02143-4398
Mailing Address120 Beacon St Ste 202, House Call ProgramSomerville, MA 02143-4398 · (617) 868-6323
Phone(617) 868-6323
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1417079922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 192595
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
120 BEACON ST STE 202, Somerville, MA 02143
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Other Identifiers 4

Medicaid110074832AMA
OtherNP1088MA · Bcbs Ma Provider Number
Medicare UPINS55339
Medicare ID-Type UnspecifiedNP1088MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Manning's NPI number?

The NPI number for Theresa Manning is 1417079922. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Theresa Manning located?

Theresa Manning practices at 120 Beacon St Ste 202 House Call Program, Somerville, MA 02143. The listed phone number is (617) 868-6323.

What is Theresa Manning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Theresa Manning was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.