Individual provider Active NPI

Angela Mancha

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1346071107
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1171045 Issued in TX
Practice address
3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404
Phone
(210) 585-6682
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1171045 TX Primary

Addresses

Primary practice location

3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404

Mailing address

3011 TPC Pkwy Ste 108
San Antonio, TX 78259-2404
Phone (210) 585-6682

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
I20240827003481 TX Practitioner - Nurse Practitioner 2860931458 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1171045TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince Jun 24, 2025 Accepting new patients
Renaissance Medical Foundation CurrentSince Aug 14, 2024 Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince Aug 1, 2024 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

1100 E Dove Ave
Ste 400
McAllen, TX 78504
Phone (956) 362-8160

8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1346071107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 TPC PKWY STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592404",
            "telephone_number": "210-585-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 TPC PKWY STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592404",
            "telephone_number": "210-585-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHA",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1171045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.