Amanda Mansouri, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

62255 Issued in TN

Practice address

4701 Monterey Oaks Blvd Apt 325
Not a Physical Location
Austin, TX 78749-1083

Phone

(865) 274-1074

NPI assigned

Jun 10, 2016

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 names 1

• Dr. Amanda Leilah Debuhr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1407205354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD APT 325",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MONTEREY OAKS BLVD APT 325",
            "address_2": "NOT A PHYSICAL LOCATION",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491083",
            "telephone_number": "865-274-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "62255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DEBUHR",
            "middle_name": "LEILAH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Mansell, L.AC.
• James Norman Mansfield IV, MD
• Patricia Katherine Mansfield, M.D.
• Nieku Manshadi, D.D.S.
• Saba Mansoor
• Mahsa Mansouri, MD
• Caroline Yen-Yuan Mantey, PHARMD
• Mantis Massage
• Kelli Mantooth, RD
• Mantra Wellness, LLC (Studio Mantra)

• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.