Active NPI
Manna Health Care PLLC
- Primary Care Nurse Practitioner
- Arlington, TX
National Provider Identifier
1205521200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2279662 | Manna Health Care, PLLC | Certificate of waiver | Apr 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.