Shaista Manzoor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1113205 Issued in TX

Practice address

1200 E Davis St Ste 113
Mesquite, TX 75149-8711

Phone

(972) 295-9090

Fax

(972) 534-0010

NPI assigned

Feb 13, 2023

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Texas Physicians Primary Care, PLLC

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1962800284
  Medicare reassignment NPD
• Total Care Family Practice, LLC

  • General Practice Physician
  • Mesquite, TX
  • NPI 1538442603

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1184321747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E DAVIS ST STE 113",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498711",
            "telephone_number": "972-295-9090",
            "fax_number": "972-534-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E DAVIS ST STE 113",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751498711",
            "telephone_number": "972-295-9090",
            "fax_number": "972-534-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZOOR",
        "first_name": "SHAISTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351259-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1113205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mangwiro and Associates PLLC (Phronesis Health Care)
• Manilla Transport LLC
• Sarah Le Manison
• Parul Manocha, OT
• Chelsea R Mansfield, APRN
• Margaret Andrews (Jewels Home Health Care)
• Margaret M Perish (Maggie Perish PsyD)
• Marsaw Home Health Agency
• Robert C Marsh, PTA
• Diana Marshall, PT

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.