Individual provider Active NPI

Julia Ann Manning, CNP

  • Acute Care Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1033110101
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP017847 Issued in TX
Practice address
17350 St. Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone
(281) 444-3278
Fax
(832) 249-3861
NPI assigned
Aug 10, 2005
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 550978 TX
Acute Care Nurse Practitioner 363LA2100X AP017847 TX Primary

Addresses

Primary practice location

17350 St. Lukes Way
Suite 400
The Woodlands, TX 77384-4167

Mailing address

PO Box 73627
Houston, TX 77273-3627
Phone (281) 444-3278

Other identifiers 1

IdentifierTypeStateIssuer
154851302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000502 TX Practitioner - Nurse Practitioner 8426159245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP017847TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Referral Service Current Accepting new patients
Baylor St. Luke's Medical Group Acute Care CurrentSince Jan 1, 2017 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Woodlands-North Houston Heart Associates, PA Past Accepting new patients

Locations

1140A Cypress Station Dr
Ste 300
Houston, TX 77090

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBHIAA/Endpoint/CBHIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1033110101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73627",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733627",
            "telephone_number": "281-444-3278",
            "fax_number": "832-249-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST. LUKES WAY",
            "address_2": "SUITE 400",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844167",
            "telephone_number": "281-444-3278",
            "fax_number": "832-249-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "550978",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP017847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154851302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.