OrganizationActive
Princess Manes
NPI 1104645308 · Prosthetic/Orthotic Supplier · Minneapolis, MN
Princess Manes is a Prosthetic/Orthotic Supplier organization in Minneapolis, MN (NPI 1104645308).
Provider details
- NPI number
- 1104645308
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Latisha Miller, Owner(612) 743-2688
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4171 Lyndale Ave N
Minneapolis, MN 55412-1737
Phone: (612) 451-9721
Street-level locationGet directions
Mailing address
3123 Russell Ave N # 1
Minneapolis, MN 55411-1018
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2025-07-28
- Certified
- 2024-10-06
Frequently asked questions
- What is Princess Manes's NPI number?
- Princess Manes's National Provider Identifier (NPI) is 1104645308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Princess Manes?
- Princess Manes is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Princess Manes located?
- Princess Manes's practice location on file with NPPES is 4171 Lyndale Ave N, Minneapolis, MN 55412-1737.
- What is Princess Manes's phone number?
- The practice phone number listed in the NPPES registry for Princess Manes is (612) 451-9721.
- Who is the authorized official for Princess Manes?
- The authorized official listed on Princess Manes's NPPES record is Latisha Miller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Princess Manes's NPI active?
- Yes — Princess Manes's NPI (1104645308) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.