{"npi":"1265789796","type":"NPI-1","status":"active","name":{"display":"Renee Mcmanus DNP Pmhnp-Bc Acns-Bc","other":[{"code":"1","type":"Formerly known as","value":"TIDD, RENEE LYNN"}],"first":"RENEE","last":"MCMANUS","middle":"LYNN","credential":"DNP PMHNP-BC ACNS-BC"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"364SA2200X","description":"Adult Health Clinical Nurse Specialist","primary":false,"state":"OH","license":"COA.09915-NS"},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"OH","license":"APRN.CNP.0029986"}]},"addresses":[{"purpose":"LOCATION","street_1":"11369 MARKET ST","city":"NORTH LIMA","state":"OH","postal_code":"444529782","country_code":"US","phone":"3309659999","fax":"2347593971"},{"purpose":"MAILING","street_1":"3888 NELSON MOSIER RD","city":"LEAVITTSBURG","state":"OH","postal_code":"444309424","country_code":"US","phone":"3305095099"}],"license":{"state":"OH","number":"APRN.CNP.0029986"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"77180","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220829002339","type_code":"14-89","type_desc":"PRACTITIONER - CERTIFIED CLINICAL NURSE SPECIALIST (CNS)","state":"OH","pac_id":"0547411993"}]},"enumeration_date":"2012-08-15","last_updated":"2023-06-01","_meta":{"source":"NPPES","snapshot_date":"2023-06-01","doc_url":"https://findmynpi.com/api"}}