Amanda G Mancha, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2002 San Bernardo Ave
Laredo, TX 78040-3142

Phone

(956) 334-3938

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1265956403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ALBANY DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457806",
            "telephone_number": "956-635-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 SAN BERNARDO AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780403142",
            "telephone_number": "956-334-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHA",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria C Maldonado, LBSW
• Melissa Joy Maldonado, APRN, FNP-C
• Parul Mamgain, MD
• Mana'S Massage LLC
• Antonio E. Mancera, MD
• Daniela Mancha, PHARMD
• Sonnia Mancha
• Jessica A. Mancillas
• Anarely Mandujano Giron
• Rodolfo Mangahas, P.T.

• Athletic Trainer in Laredo, TX
• Providers in Laredo, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.