Organization Active NPI

Manna Health Care PLLC

  • Primary Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1205521200
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MANNA HEALTH CARE PLLC
Practice address
1901 Southeast Pkwy Ste 102
Arlington, TX 76018-3601
Phone
(682) 252-4698
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Ms. Margaret Naruna Badejo, DNP, FNP-BC
Title
Owner
Phone
(682) 252-4698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1901 Southeast Pkwy Ste 102
Arlington, TX 76018-3601

Mailing address

6011 Pietro Dr
Grand Prairie, TX 75052-8744
Phone (817) 323-4471

Other names 1

  • Manna Health care PLLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2279662Manna Health Care, PLLC1901 Southeast Pkwy Suite 102, Arlington, TX 76018Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

1901 Southeast Pkwy
Ste 102
Arlington, TX 76018
Phone (682) 252-4698

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1205521200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 PIETRO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528744",
            "telephone_number": "817-323-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTHEAST PKWY STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760183601",
            "telephone_number": "682-252-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BADEJO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "NARUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-252-4698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manna Health care PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.