Individual provider Active NPI

Betty J Manasco, SLP

  • Speech-Language Pathologist
  • Powhatan, VA
National Provider Identifier
1265489082
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202000808 Issued in VA
Practice address
3910 Old Buckingham Rd
Powhatan, VA 23139-5719
Phone
(804) 598-2200
Fax
(804) 598-3114
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202000808 VA Primary

Addresses

Primary practice location

3910 Old Buckingham Rd
Powhatan, VA 23139-5719

Mailing address

PO Box 189
Goochland, VA 23063-0189
Phone (804) 556-5400

Other identifiers 5

IdentifierTypeStateIssuer
106296OtherVAHEALTHKEEPERS
10863OtherVAVALUE OPTIONS
244010OtherVAMAMSI
106296OtherVAANTHEM
44157OtherVASENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2202000808VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goochland County Board of Supervisors Past Accepting new patients
Goochland Powhatan Community Services PastSince Sep 1, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265489082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630189",
            "telephone_number": "804-556-5400",
            "fax_number": "804-556-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395719",
            "telephone_number": "804-598-2200",
            "fax_number": "804-598-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASCO",
        "first_name": "BETTY",
        "middle_name": "J",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202000808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "106296",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "10863",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "244010",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "106296",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "44157",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.