Porsche Maneice, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61458218 Issued in WA

Practice address

242 St Helens Ave
Tacoma, WA 98402-2514

Phone

(253) 627-3833

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1013698083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 S STATE ST UNIT 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052824",
            "telephone_number": "205-260-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022514",
            "telephone_number": "253-627-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEICE",
        "first_name": "PORSCHE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61458218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Faye Kaibigan Manansala
• Emily Manassero, L.M., C.P.M.
• Ursula Helena Mancino
• Pelavi Mandalia, RN
• Deborah Mandel, PMHNP-BC
• Joseph Mayimba Mangala, MD-CE
• Shilpa Priya Mangalampally
• Shruti Pramod Mangalore, MPT
• Zachary Michael Mangarin, RDH
• Ashley Mangum, MSW

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.