Individual provider Active NPI

Melissa Etage Manuel, DC

  • Chiropractor
  • Jena, LA
National Provider Identifier
1205044229
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1234 Issued in LA
Practice address
155 Ninth St Ste B
Jena, LA 71342-3900
Phone
(318) 992-2022
Fax
(318) 992-2037
NPI assigned
May 21, 2007
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1234 LA Primary

Addresses

Primary practice location

155 Ninth St Ste B
Jena, LA 71342-3900

Mailing address

PO Box 1333
Jena, LA 71342-1333
Phone (318) 992-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000882 LA Practitioner - Chiropractic 6103713375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa Etage Manuel DC LLCGroup PAC ID 8527587351, 2 clinicians

Practice addresses (Care Compare)

155 9TH St
Suite B
Jena, LA 71342-3900
Phone (318) 992-2022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234LAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walter P. Creel, D.C., Inc. Chiropractor CurrentSince Jul 15, 2014 Accepting new patients
Melissa Etage Manuel, D.C., LLC Chiropractor CurrentSince Jun 1, 2025 Accepting new patients

Locations

155 Ninth St
Ste B
Jena, LA 71342
Phone (318) 992-2022

Organizations & group practices 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1205044229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713421333",
            "telephone_number": "318-992-2022",
            "fax_number": "318-992-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NINTH ST STE B",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423900",
            "telephone_number": "318-992-2022",
            "fax_number": "318-992-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MELISSA",
        "middle_name": "ETAGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.