Organization Active NPI

Dr Terrell S Manuel LLC

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1003047994
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR TERRELL S MANUEL LLC
Practice address
12038 Greenwell Springs Port Hudson Road
Zachary, LA 70791
Phone
(225) 654-1560
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrell S Manuel, FNP, PMHNP, DNP
Title
Owner/Provider
Phone
(337) 298-8293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP04812 LA

Addresses

Primary practice location

12038 Greenwell Springs Port Hudson Road
Zachary, LA 70791

Mailing address

336 Brightwood Dr
Lafayette, LA 70508-7358
Phone (337) 298-8293

Other practice location 1

4363 Convention St
Baton Rouge, LA 70806-3906
Phone (337) 298-8293

Other practice location 2

336 Brightwood Dr
Lafayette, LA 70508-7358
Phone (337) 298-8293

Other identifiers 1

IdentifierTypeStateIssuer
1810266MedicaidLA

Other names 1

  • Psychiatric Consultants of Louisiana Other name

National Provider Directory

National Provider Directory

Locations

12038 Greenwell Springs P H Rd
Zachary, LA 70791
Phone (225) 654-1560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1003047994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BRIGHTWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087358",
            "telephone_number": "337-298-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12038 GREENWELL SPRINGS PORT HUDSON ROAD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-654-1560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4363 Convention St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063906",
            "country_code": "US",
            "telephone_number": "337-298-8293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Brightwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705087358",
            "country_code": "US",
            "telephone_number": "337-298-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR TERRELL S MANUEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "337-298-8293",
        "authorized_official_credential": "FNP, PMHNP, DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP04812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810266",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Consultants of Louisiana",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Psychiatric Consultants of Louisiana",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.