Individual provider Active NPI

Catherine Nanyongo Manga, FNP.BC

  • Family Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1376942391
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125898 Issued in TX
Practice address
2304 De Lee St Ste 200
Bryan, TX 77802-2815
Phone
(979) 431-5800
Fax
(979) 703-1361
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 AP125898 TX Primary

Addresses

Primary practice location

2304 De Lee St Ste 200
Bryan, TX 77802-2815

Mailing address

25711 Canyon Crossing Dr
Richmond, TX 77406-5291
Phone (832) 439-7386

Other identifiers 1

IdentifierTypeStateIssuer
368372409MedicaidTX

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
I20170308000207 TX Practitioner - Nurse Practitioner 9335444686 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2304 De Lee St
Suite 200
Bryan, TX 77802-2815
Phone (979) 431-5800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C&L Comfort Living CurrentSince Nov 18, 2025 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince May 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince May 1, 2019 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Southwest Medical Associates, Inc. CurrentSince May 24, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Dec 24, 2016 Accepting new patients
Oakbend Medical Group CurrentSince Aug 1, 2022 Accepting new patients
C&L Comfort Living LLC Current Accepting new patients
Lufkin Physician Services PA CurrentSince Jul 14, 2018 Accepting new patients
Oakbend Medical Group CurrentSince Aug 1, 2022 Accepting new patients

Locations

2304 De Lee St
Ste 200
Bryan, TX 77802
Phone (979) 431-5800

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 11

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1376942391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25711 CANYON CROSSING DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065291",
            "telephone_number": "832-439-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 DE LEE ST STE 200",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022815",
            "telephone_number": "979-431-5800",
            "fax_number": "979-703-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGA",
        "first_name": "CATHERINE",
        "middle_name": "NANYONGO",
        "credential": "FNP.BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368372409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.