Individual provider Active NPI

Bushra Manakatt, FNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1245661958
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
710374 Issued in TX
Practice address
4048 Red Bluff Rd
Pasadena, TX 77503-3606
Phone
(832) 768-4721
NPI assigned
Dec 5, 2013
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 710374 TX Primary

Addresses

Primary practice location

4048 Red Bluff Rd
Pasadena, TX 77503-3606

Mailing address

12439 Packard Bend TRL
Houston, TX 77089-2634
Phone (832) 768-4721

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131220000308 TX Practitioner - Nurse Practitioner 5890922728 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
710374TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jun 1, 2016 Accepting new patients
Collaborative Geriatrics Inc CurrentSince Nov 17, 2021 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jan 14, 2016 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

4048 Red Bluff Rd
Pasadena, TX 77503
Phone (713) 477-7877

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

Organizations & group practices 4

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1245661958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12439 PACKARD BEND TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892634",
            "telephone_number": "832-768-4721",
            "fax_number": "281-984-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 RED BLUFF RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033606",
            "telephone_number": "832-768-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAKATT",
        "first_name": "BUSHRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "710374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.