Individual provider Active NPI

Patricia Manjarrez

  • Speech-Language Pathologist
  • Conroe, TX
National Provider Identifier
1053080796
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118702 Issued in TX
Practice address
17601 FM 1314 Rd
Conroe, TX 77302-5901
Phone
(281) 465-7724
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 118702 TX Primary

Addresses

Primary practice location

17601 FM 1314 Rd
Conroe, TX 77302-5901

Mailing address

17601 FM 1314 Rd
Conroe, TX 77302-5901

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmanjarrez@conroeisd.net
Direct Messaging Address pmanjarrez@conroeisd.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118702TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1053080796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17601 FM 1314 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 FM 1314 RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773025901",
            "telephone_number": "281-465-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANJARREZ",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmanjarrez@conroeisd.net",
            "affiliation": "N",
            "address_1": "17601 Fm 1314 Rd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773025901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmanjarrez@conroeisd.net",
            "affiliation": "N",
            "address_1": "17601 Fm 1314 Rd",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773025901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.